School Booking Request

School Name *

Address *

Suburb *

Teacher's Name *

Teacher's Contact Number *

Teacher's Email Address *

Visit Type *

Location *

Date submitted *

Booking Preferences

Select date and time (please choose dates 4-8 weeks in advance)

1st Date Preference *

Start Time

End Time

2nd Date Preference *

Start Time

End Time

3rd Date Preference *

Start Time

End Time

Select Year / Level *

Number of students *

Visit Details *

PRIVACY STATEMENT

In submitting this form, you consent to Council:

Collecting your personal information as contained in the form; and
Using the information for the purposes outlined in the form and for any other Council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request.

You may access any of your personal information that Council holds upon request.

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