Step 1 of 333%1. Select Tour*Please SelectSUNSET HUMPBACK WHALE CRUISESHALF DAY WHALE WATCHING CRUISE & SNORKEL TOURHUMPBACK WHALE SWIMWHALESHARK SWIM TOUR2. Name* First Last 3. Organisation Name*4. Which role describes your position best?*Please SelectRelief TeacherClass TeacherEd Support TeacherCurriculum LeaderSpecialist TeacherHead Of DepartmentDeputy PrincipalPrincipal5. Contact Phone Number*6. Contact Email Address* 7. Attending teacher’s mobile number*Please indicate the date/s you would like to visit Whaleshark:Date Preference #1:* DD slash MM slash YYYY Date Preference #2:* DD slash MM slash YYYY Date Preference #3:* DD slash MM slash YYYY 9. Preferred start time of visit:*10. Time you need to leave:*11. Total anticipated number of students:*12. My organisation is a: School Playgroup / Early Learning Centre Group - Out of Hours School Care / Private Groups Home School GroupYear levels (Please select all year levels attending):* Kindy Pre-Primary Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 TertiaryPlease choose the length of visit and pricing option:* $6.50 per student; for total time at Scitech between 0 and 2 hours $9.00 per student; for total time at Scitech between 2 and 3 hours $10.50 per student; for total time at Scitech between 3 and 4 hours $12.00 per student; for total time at Scitech above 4 hoursNB: Pricing reviewed; effective November 2018. Where possible, each visit to Whaleshark includes a designated break time of 15 minutes. Free exploration time in the general exhibit area subject to pricing option chosen.Age range of children attending:from:*-- Please Select ------ Not applicable ----1 year old2 year old3 year old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old16 years old17 years old18+to:*-- Please Select ------ Not applicable ----1 year old2 year old3 year old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old16 years old17 years old18+14. Do any of your students have special needs?* Yes NoPlease detail your students' special needs here:*15. Which program option would you prefer?* Playgroup visit to Scitech for $6.50 per person over the age of 4 (flat rate $97.50 if less than 15 paying people) Group visit - minimum booking of 20 people, $11 per child, supervising 1:8 adults free, additional adults $18 each. OtherWhich visit option would you prefer?* 9:45am Planetarium show (30 minutes) and 90 minutes general free time (school holidays only) 2 hours general free time 10:30am Science Theatre show16. Tick to subscribe to: Teacher eNews: The latest news, information and professional learning opportunities for teachers. Particle: Science stories, video and news from WA and the world. Scitech eNews: Keeping up to date with what's on at Scitech.17. How did you find out about Scitech's programs?: Teacher eNews Flyer received at school Social media Whaleshark website Word of mouth Previous visit Professional Learning Workshop Other18. Extra Comments:
