School Visit Booking Form

Name*

First NameLast Name

School or Early Learning Centre*

ABN

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact number*

Please enter a valid contact number.

Email*

example@example.com

Select the available excursion date - time is 10am-2pm*

Please include a brief description of what you have been learning about in class and the purpose of your visit to Wirraminna. Our staff will be in contact to discuss which activities suit your booking after it has been confirmed.

Number of students*

For more than 40 students, please contact Wirraminna directly.

Year level/s*

Payment options (select one) - Cost is $5.50 (inc GST) per student

Invoice - please ensure address details are included above.Credit Card - please fill in details below.

Credit Card Payment Total

AUDDescription

Credit Card Details

Authorisation

I/we confirm the accuracy of the details provided in this application and further acknowledge that extra charges may be applied after the booking if more students/children attend.I/we are authorised to make this booking and understand in the case of bad weather, WHS or unforeseen circumstances, in liaison with the Wirraminna staff, your booking will either be postponed in the first instance or cancelled.