Incursion Booking Form

HISTORY ON THE MOVE INCURSION BOOKING FORM

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Contact Information *

First NameLast Name
Contact Email Address*
School/Organisation*
Phone Number*
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Approx number of students attending?*
Students
Number of Classes ?*
Students
Student Year Level?*
Date of proposed incursion*

DayMonthYear
To be confirmed
Second Preference Incursion Date*

DayMonthYear
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History on the Move Incursions must start in the morning and be off the school grounds by 2.00pm. We offer up to three sessions times for up to 60 students broken into 4 groups maximum 180 students. Please select your school's presentation times below.
First Session Time - Max 75 minutes min 60 minutes*

Starting Time

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Finishing Time

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Second Session Time - Max 75 minutes min 60 minutes

Starting Time

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Finishing Time

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Third Session Time - Max 75 minutes min 60 minutes

Starting Time

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Finishing Time

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Program 1: Changing Technologies (domestic, communication, toys)1 Hour minimum per session Max 3 sessions per visit - (180 Students) - Entry gate access is required for our History on Move Trailer -Set up 5 Trestle Tables & 5 chairs please
$4.50AUD Number of Students



Program 2: Kuranda Rail1 Hour Minimum per session Max 3 sessions per visit - (180 students) - Entry gate access is required for our History on the Move Trailer - Set up 5 Trestle Tables & 5 chairs please.
$4.50AUD Number of Students



Program 3: Gold1 Hour minimum per session - Max 3 sessions per visit - (180 students) - Entry gate access is required for our History on the Move Trailer - Close access to water taps required for gold panning activity - Please set up 5 Trestle Tables & 5 chairs
$4.50AUD Number of Students
Item subtotal:$0.00AUD



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$0.00AUD
Please upload a school map with the Admin Block clearly marked where Volunteers sign in, the Presentation Space marked and the name of Street with gate access for ute/trailer to enter school grounds. A shady or undercover area preferably away from distractions where our trailer can park nearby. (Shady area on oval, outdoor learning area, school hall)*

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Individual Needs (Does anyone in your group have special needs that we need to be aware of or may be able to assist with? Please detail any additional information or queries regarding your incursion request below.
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HISTORY ON THE MOVE INCURSION BOOKING FORM