Teacher / Contact Name (required)

Email Address

School Name (required)

Phone No. (required)

Fax No.

School Postal Address

State

Postcode

Have you been on a Lessons Afloat Excursion before ?

If NO, how did you hear about us?

EXCURSION DETAILS

Preferred Month

Preferred Date

Half Day

Full Day

Optional Shark Island visit

Number of Students (required)

Year (K - YR 12)

Unit Focus

Additional Comments / Enquiries