Day Visit Program

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The Department of Education through Boyne Island Environmental Education Centre is collecting personal information in accordance with the Education (General Provisions) Act 2006 in order to register your interest for day visits. 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.

* Indicates mandatory information is required to be completed before submitting the form.

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School name* *

Principal's name* *

Office / Accounts email* *

Head of Curriculum / Department name

Head of Curriculm / Department email

Visiting School’s Organising Teacher’s name* *

Visiting School's Organising Teacher's email *

Visiting School's Organising Teacher's phone

Year level* *

Total number of students* *

Total Number of staff/adults* *

Program* *

Specify a day visit learning experience modification to the programs listed

First date preference* *

Please select your preferred date.

Second date preference* *

Please provide your preferred second alternative date.

Third date preference* *

Please provide your preferred third alternative date.

Preferred time of arrival* *

Preferred time of departure* *

Transport* *

Authorisation of principal

Yes approval by my Principal has been given

No Principal approval has not been given

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