Enquiry Form

First Name*

Last Name*

School/Organisation/Group Name*

Phone*

Email*

Visit type* Excursion Incursion Homeschool Excursion Homeschool Incursion Exclusive use Private workshop

Preferred Visit Date*

Preferred Time of Visit --None-- AM PM

Preferred Excursion Topic --None-- Delicious DNA How Sweet It Is! Get a Lung of this Microscopic World Food Futures Meet a researcher

Preferred Incursion Topic --None-- Get a Lung of this Germs! Poo and you How Sweet It Is! Meet a researcher

Purpose of booking (e.g. birthday party)

Group size*

Year group*

Questions or Comments

How did you hear about the Discovery Centre Schools Program? --None-- Discovery Centre Facebook Friend told me PCH Directory Kiosk PCH Staff Schools Program The Kids Staff Member The Kids Website Walked past Other

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