HAMILTON-WENTWORTH CATHOLIC DISTRICT SCHOOL BOARD ONLINE BOOKING REQUEST FORM To request a school screening, please complete in detail and submit the online booking request form below. Name of School* Contact Name* Telephone Number* Email Preferred Date of Screening* Preferred Time of Screening* Select Grade for Screening* JKSK1st2nd3rd4th5th6th7th8th Number of Students Screened (Approx.)* Preferred Method of Contact* PhoneEmail