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 number
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
Excursion program
Incursion program
Location*

Blackman ParkBoronia ParkBuffalo Creek ReserveChatswood Rotary Athletics FieldField of Mars ReserveIncursionMagdala ParkMarrickvilleMeadowbankSTEP trackOther
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.
Arrival time*

AM/PM Option
Departure time*

AM/PM Option
1st date*

DayMonthYear
Date
Reminder date

DayMonthYear
You will receive a reminder email on the date above.
Approx student numbers*
Confirm final numbers one week prior to program. Your school will be billed based on this amount.
Number of classes*
Grade*

KYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12

Additional details
How did you find out about Field of Mars EEC?

Google searchGoogle adsRecommendationPrevious bookingSocial mediaOther schoolNewsletterEmailOther
Additional staff email addresses
What Field of Mars EEC programs have your students previously participated in?
Comments and/or additional information regarding student needs
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: