The Ripple Effect booking form
The Ripple Effect –Smart choices around water is a secondary-school, in-person incursion program delivered by accredited educators to build student capability in water safety,responding to emergencies, and resisting peer pressure in high-risk situations.The program is designed for Years 7–10 (Levels 7–10) and funded by the Victorian Government through the Strategic Partnerships Program.
School name
*
School address
*
Street Number/Name
Street Name
City
State
Post Code
School email address
General school email address eg. school@education.vic.gov.au
Booking contact name
*
Your first name
Your last name
Booking contact phone number
*
-
Area code
Your phone number
Booking contact email
*
Your email address
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Participant and supervisor details
Participant year level/s
*
Year 7
Year 9
Year 8
Year 10
Total number of participants
*
Approximate number - numbers must be confirmed no less than five days prior to program date.
Program dates
*
All participants required to attend program on one day
Participants to be split across multiple days
We are flexible with dates
The group supervisor attending on the day will be:
*
The same as the booking contact
Someone else
Unsure yet - to be confirmed closer to the day
Group supervisor name
*
First Name
Last Name
Group supervisor mobile phone number
*
-
Area Code
Phone Number
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Lifesaving education program - The Ripple Effect
Program date & time
We are currently prioritising bookings for Terms 2 and 3, 2026, with a preference for regional programs to be delivered during Term 3. For regional locations, schedules will be finalised within four weeks, after which confirmations will be provided.
Preferred program date
*
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Day
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Month
Year
We will book this date if available
Second preference program date
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Day
-
Month
Year
If preferred date not available or booking multiple days
Third preference program date
-
Day
-
Month
Year
If preferred date not available or booking multiple days
Fourth preference program date
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Day
-
Month
Year
If preferred date not available or booking multiple days
Preferred session times
9:00am - 10:00am
10:00am - 11:00am
11:30am - 12:30pm
12:30pm - 1:30pm
2:30pm - 3:30pm
Other
Is there anything else we need to know?
Please provide any information regarding preferred session times and group sizes for each session or information about the student cohort relevant to program booking.
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Education program terms and conditions
Once you hit submit, you will receive notification that your booking request has been received by LSV. If we have availability for your preferred program dates, we will send a booking notification with a link to sign the terms and conditions (shown below). The terms and conditions need to be signed by an authorised delegate and returned within four weeks to secure your booking and receive confirmation.
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