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Lecture Request

Visits to the Centre are not yet available.

Lecture Request

Name

Telephone

Email

Job Title

About your organisation

Organisation Telephone

Organisation Name

Organisation type

If requesting a student workshop please indicate student level. Tick all that apply

Infant

Standard 1

Standard 2

Standard 3

Standard 4

Standard 5

Form 1

Form 2

Form 3

Form 4

Form 5

Form 6

Entire School

Other

If 'Other', please specify

Desired theme or topic of visit

Careers

Safety

Hazards

Building practices

Other

If 'Other', please specify

Preferred duration

Estimated number of attendees

Full address and directions to the site

The organisation will provide (tick all that apply)

Screen

Laptop

Projector

PA system

Other

Any other details

If 'Other', please specify

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