*1.School name and suburb(Required.)

*2.Your name (first and last names)(Required.)

*3.Your phone number(Required.)

*4.Your email address(Required.)

*5.What is the total number of people you anticipate will be in your excursion group (students plus staff)?(Required.)

1-10 visitors

11-20 visitors

21-30 visitors

31-40 visitors 

*6.What year level/s are the students in?(Required.)

*7.Which days would your group prefer to attend the exhibition? (We recommend ticking three dates.)(Required.)

Tues, 8 March

Weds, 9 March

Thurs, 10 March

Tues, 15 March

Weds, 16 March

Thurs, 17 March

Tues, 22 March

Weds, 23 March

Thurs, 24 March

8.Multiple excursion sessions will be offered daily. Please indicate preference/s.

9.00am-10.30am

10.30am-12.00pm

12.00pm-1.30pm

1.30pm-3.00pm

*9.Would you like to receive regular updates from Gallery76 about its textile art education and excursion programs?(Required.)

Yes

No

*10.I understand that this is a booking enquiry, not a confirmation, and that Gallery76 staff will be in touch with options which suit my preferences.(Required.)

Yes