SQSC Booking Form

Questacon on Tour > Outreach Programs > Shell Questacon Science Circus > SQSC for Teachers > SQSC Booking Form

Complete the details below, hit the submit button and we'll get back to you in a few days. Our tours are usually oversubscribed, so don't wait - book now!

Contact Details

Full school name
Street address
State				Postcode
Contact teacher
School Phone
School Fax
e-mail
Preferred way to contact

2009 Tours

	4 May - 5 June	Central Coast & Hunter, NSW
	3 - 28 August	Pilbara and Kimberley, WA
	28 September - 23 October	Tasmania

Notes:

Presenters can visit in these towns and up to 90 minutes away by 2WD car on sealed roads in the surrounding region.
Do you belong to a cluster? Consider hosting a visit for schools in your cluster – let us know the details of the other schools in your cluster in the comments box below.

Booking Preferences

Cost is $5 per student. GST exempt.
No. of sessions
Venue (eg, hall)
Indicate your four preferred session dates and times, as well as the year level(s) and student numbers.
1st session:	Time	Yr/s	No.
2nd session:	Time	Yr/s	No.
3rd session:	Time	Yr/s	No.
4th session:	Time	Yr/s	No.

School times: Start:

Finish:

Breaks:

Any other comments or requests?

Your personal or school details will not be divulged or used for any other purpose.
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