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Excursion/Incursion Request Form
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* Indicates required question
Name of School or Service
*
Your answer
Contact Name
*
Your answer
Contact Phone Number
*
Your answer
Contact Email
*
Your answer
Preferred Location
*
Simpson Falls Picnic Area (Mt Coot-tha)
Boorabbin Picnic Ground Park (Wishart)
Rainbow Forest (Fig Tree Pocket)
Walton Bridge Lion's Park (The Gap)
Brighton Park (Brighton)
Petrie Creek (Burnside)
Point Cartwright Beach (Buddina)
Your own site (Incursion)
Potential Dates Requested
*
Please select at least two dates if possible
Your answer
Length of Session
*
2 hours (10am - 12pm or 1pm-3pm)
3 hours (9am - 12pm or 1pm-4pm)
Morning Session or Afternoon Session Preferred
*
Morning (10am-12pm or 9am-12pm)
Afternoon (1pm-3pm or 1pm-4pm)
Either (You are flexible with your choice)
Number of Children (approximate)
*
Your answer
Number of Supervising Staff Available
*
Your answer
Preferred Activities: Level 1 (Explorer)
Cubbytown
Natural Painting
Toy Boats
Scavenger Hunt
Stick Craft
Nature Crowns
Seasonal Natural Craft
Free Creek Play
Other:
Preferred Activities: Level 2 (Adventurer)
Tinker with Tools
Simple Bows and Arrows
Crafting Quivers
Flower Crowns
Raft Building
Bushwalking (Mt Coot-tha only)
Advanced Shelters
Loose Parts (Sunny Coast only)
Other:
Preferred Activities: Level 3 (Pioneer)
Fire: Fire Striking
Fire: Kelly Kettle + Kindling Cracker
Fire: Bush Cooking
Whittling: Arrows
Whittling: Tent Pegs
Whittling: Magic Wands
Other:
Any other requests or comments?
Your answer
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