Comments and
   Suggestions
    We welcome your comments
    and suggestions.  Please do
    not hesitate to let us know.
Student for a Day Program  

Come experience us first hand by spending a day at Heritage!

Complete the form below, and Sandra Ricci, Communication / Promotion Advisor, will contact you to make arrangements. You may also call her at 819-778-2270, ext. 1329, for more information.

Identification
First name:*
 
Last name:*
 
Phone number:*
 
Email address:*
 

What school do you come from:*

 
Program choice and date(s)
What program interests you:*
 

First date choice:* (Calendar - Today's date: Tuesday May 21, 2013 )
 

Second date choice: (optional)

 

Additional information:

 

Would you like a copy of this request?

Yes
No

Note: * Indicates a required field  

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325, boul. Cité des Jeunes, Gatineau, QC, Canada J8Y 6T3 | T. 819.778.2270 | F. 819.778.7364
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