Triathlon WA School Visit Expression of Interest Form Question Title * 1. Please enter the contact details of your school School Name Teacher Name School Address Email Contact Phone Contact Question Title * 2. What Type of School Visit are you interested in? Assembly/Class Presentation (5-30 minutes) Interactive Class Clinic (30-60 minutes) Multiple Week Program Question Title * 3. Do you have access to a pool? Yes No If No, would you be interested in delivering a Duathlon (Run/Ride/Run) format? Question Title * 4. Please select which day and time suit you best AM PM Monday Monday AM Monday PM Tuesday Tuesday AM Tuesday PM Wednesday Wednesday AM Wednesday PM Thursday Thursday AM Thursday PM Friday Friday AM Friday PM Question Title * 5. Do you have any specific requests for your presenter to mention? Question Title * 6. Does Your School Allow Newsletter Submissions? Yes No Question Title * 7. If yes, please add details who cost and who to contact for Newsletter submission. Done