Please complete ALL details.

Your Organisation / School Details

School Name

School Phone Number

School Fax Number

School Address

Organising Teacher's Name

Best Contact Email Address

After Hours Contact Number
(for wet weather only)

Year Level of students

Number of Students Attending


Preferred Excursion Date 1

In the event that your requested excursion date becomes unavailable before a deposit is paid, please list your second & third preference dates

Preferred Excursion Date 2

Preferred Excursion Date 3


Any additional comments regarding student group?

Activity Program Required

Gold Rush
Team Challenge

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Please note - a booking will not be processed without acceptance of the Terms and Conditions.

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