Day visit booking form

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Please complete the details that follow and submit your application.

Foundation - Year 12

The Department of Education through Daradgee Environmental Education Centre is collecting personal information in accordance with the Education (General Provisions) Act 2006 in order to register your interest for the camp. The information will only be accessed by employees of the Department of Education. The information will not be given to any other person or agency unless prior consent is obtained.

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School/organisation name *

Teacher's name *

Teacher's email *

Enter your Teaching partner's name if relevant

Year level

Number of students *

Phone number *

After hours phone number

Fax number

Camping details preference *

Farmyard Experience

Climbing

Environmental Education Activities

Aquatic/Estuary Studies, Daraji Sunbird Boat Trip

Leadership

Independent Day Visit - require DEEC's facilities and limited or no access to Centre Staff

Day Visit not requiring DEEC's facilities while accessing Centre Staff e.g. alternate site

Other camp type

Other camp type (specify)

Preferred date 1 *

Preferred date 2 *

Preferred date 3 *

Additional information/requests

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