Water Safety Booking Form

Bookings are now open for the City of Newcastle's Water Safety Education Program. Our free water safety education presentations will run from Monday 25 July to Friday 16 September 2022. The program is available to primary schools in the Newcastle local government area. Please complete the booking form before Wednesday 18 May 2022.

Contact details
School name:
Contact name:	Someone who we can liaise with
Street address:
Suburb:
State:
Postcode:
Postal address:
Contact number:	Landline or mobile

Email:
Preferred form of contact:	PhoneEmail
Program information

Please list two dates and times suitable (from 25 July to 16 September)
1. Date/time:	Now Please select the first suitable date between 25 July and 16 September 2022
2. Date/time:	Now Please select the second suitable date between 25 July and 16 September 2022
Please also list dates that are unsuitable for when we are scheduling
1. Date:	Today
2. Date:	Today
3. Date:	Today
How many presentation sessions will your school require?
How many presentation sessions will your school require:

Please list the number of students attending each session and which grade they are from
	No. of students attending	Grades attending (eg K - Year 2)
Session 1
Session 2
Session 3
Session 4

General Information

What are your school's start and finish times
Start:
Finish:
Recess start and finish
Start:
Finish:
Lunch start and finish
Start:
Finish:
Special Needs
Please advise if any Special Needs lectures are required:
Lectures
Location of lectures:
Capacity of lecture rooms:
IT equipment available:	Smartboard Computer Projector and screen Microphone Other
If other selected please specify:
Please provide parking details:
Any additional information?: