Field work is $5 per student
Energy Trailer and Documentary $5
Within school field work $2 per

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* 1. Name of School

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* 2. Your name

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* 3. Email address:

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* 4. Teacher's Phone no:

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* 5. School Phone no:

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* 6. Which Stage?

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* 7. Program requested:
Please check our brochures /website for more detailed information. We are happy to discuss our programs and modify programs to suit your needs.

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* 8. Which syllabus outcomes are you focussing on for this fieldwork?

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* 9. Estimated number of students?

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* 10. Preferred Term / Week / Day / Date.
Please note that we will try to accommodate your preferences however, booking dates are subject to availability and we may need to discuss alternate dates.

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* 11. Most of our fieldwork programs run from 9:30am-2pm. Please let us know if you would need to adjust this start / finish time.

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* 12. Are there any particular needs or circumstances that we need to be aware of when taking your booking? 
Please note, we will also ask you to complete a Participant Safety Form when your booking is confirmed to identify any students / staff with special needs or health issues.

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* 13. Please advise the email address of other teachers involved in your field work so we can send them pre and post visit resources.

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* 14. Any other comments or suggestions?

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