Life Without Me Workshop Enquiry Form
Expression of Interest
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School Name *
Address *
An additional charge will be allocated for schools situated more than 50km from the CBD
Contact Teacher *
Teacher Email *
Teacher Phone Number *
Number of students attending *
Grades attending
First Preference of Date and Start Time *
The workshop requires a six hour block in order to deliver the five hours of content and allow for adequate recess and lunch breaks. Please indicate the start time for each date preference.  Currently only available on Thursdays and Fridays during school terms. Weekends and school holiday dates can be requested on all days of the week.                                                                                                   .
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Second preference of date and start time *
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Time
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Third preference of date and start time
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Time
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Description of venue for the workshop
Special requirements/ needs?
Submit
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