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* 1. Name of School

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* 2. School code

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* 3. Your name

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* 4. Email Address

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* 5. Teacher mobile contact

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* 6. School phone number

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* 7. Which stage?

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* 8. Program requested. Please refer to website program information.

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* 9. Which syllabus outcomes are you focusing on for this excursion/fieldwork?

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* 10. Estimated number of students

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* 11. Preferred Term/Date
Please note that we will try to accommodate your preferences however booking dates are subject to availability

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* 12. Most of our programs run from 10am - 2pm.  Please let us know if you would like to adjust this start / finish time

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