Field of Mars EEC program booking form

Field of Mars EEC program booking form

Please complete all relevant fields. A completed booking form, program details, risk assessment, bus access info and supporting activities will be emailed to all participating teachers (email address must be provided). The form can be edited after submitting using the edit submission link.
School name
School phone
Organiser
Organiser mobile
Enter a valid mobile numberFormat: 0000000000.
School generic email
Your schools main email account.
Organiser email
example@example.com
Teacher 2 email
Program details will be sent to all provided emails.
Teacher 3 email
example@example.com
Teacher 4 email
example@example.com
Teacher 5 email
example@example.com
Teacher 6 email
example@example.com
Teacher 7 email
example@example.com
Primary excursion programs
Primary incursion programs
Secondary excursion programs
Secondary incursion programs
Check location options on the Field of Mars EEC website. Some programs will use multiple locations. If the selection you make is incorrect or not available we will update your booking form with the correct location.
Location

Other
Arrival time

AM/PM Option
Departure time

AM/PM Option
1st date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Reminder date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearYou will receive a reminder email on the date above.
Final reminder date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearYou will receive a final reminder email on the date above.
Approx student numbers
Confirm final numbers one week prior to program.
Number of classes
Grade
- 2nd date
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Approx student numbers
  Confirm final numbers one week prior to program.
- Number of classes
- Grade
- 3rd date
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Approx student numbers
  Confirm final numbers one week prior to program.
- Number of classes
- Grade
- 4th date
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Approx student numbers
  Confirm final numbers one week prior to program.
- Number of classes
- Grade
- How did you find out about Field of Mars EEC?
  
  Other
- Additional staff email addresses
- What Field of Mars EEC programs have your students previously participated in?
- Additional information regarding student needs
- Comments
- By submitting this form you are making a booking. We will contact you if there are any issues with your booking such as the dates or the location you selected.
- Should be Empty: