Youth Group Booking - The EnergyPlex

Group Information

Organization*

Address*

Street Address Address Line 2 City Province Postal Code

Contact Information

Name of Contact Person*

First Last

Email Address*

Phone Number*

Group Booking Information

Group Event Date request:*

Please indicate your preferred date. We will contact you as soon as possible about availability and rates.

Group Event Time request:*

Please indicate your preferred time slot of two hours. We will contact you as soon as possible about availability and rates.

Number of participants*

- Ages 19 and up

Please enter a number greater than or equal to 25.

Age of the participants*

- Please enter the approximate age of the participants in the group (between 19 and 99)

Please enter a number from 19 to 99.

Event requirements

Please let us know in the comment box below which activities you would like to participate in. Options are Rock Climbing, Laser Tag, Skytrax and Arcade games. Please also let us know if you want to make use of our bar and if you want us to send you our meal options.

Email

This field is for validation purposes and should be left unchanged.