Education Visit Booking Enquiry Form
Contact Details
School or Group Name* :
Type of Group :
Preschool
Primary
Secondary 7-12
Tertiary
ESL / NESB
Special Needs
Community / Interest Groups
Holiday Programs / Family & Children
Outreach & Partnerships
Group Key Contact name* :
Group Key Contact Position/Title :
Group Key Contact Business/Organisation name :
Postal address* :
Contact daytime telephone number* :
Mobile telephone number :
Fax :
Email :
Visit Date
First Preference* :
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
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10
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13
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16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
,
Year
2010
2011
2012
Time:
Time
10:00am
11:00am
12:00pm
1:00pm
2:00pm
3:00pm
4:00pm
Second Preference* :
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
,
Year
2010
2011
2012
Time:
Time
10:00am
11:00am
12:00pm
1:00pm
2:00pm
3:00pm
4:00pm
Group Details
Total number of participants/students* :
Number of teachers/lecturers accompanying group* :
Number of adults/carers accompanying group :
Class level or group age* :
Subject area/s of relevance :
Curriculum links (school groups) :
Exhibition/s you wish to view :
We Call Them Pirates Out Here: MCA Collection selected by David Elliott
17th Biennale of Sydney - THE BEAUTY OF DISTANCE: Songs of Survival in a Precarious Age
IN THE BALANCE: ART FOR A CHANGING WORLD
RUNA ISLAM
PRIMAVERA 2010
Type of visit* :
Select Type of Visit...
Guided Tour
Tutorial
Lecture
Self-Guided Group
Practical Workshop
School holiday program
Family Program
Bella Workshop
Other
Other:
How did you hear about this program?* :
Please Select...
MCA Events Flyer
MCA Education Flyer
MCA Membership Brochure (ART MATTERS)
MCA E-Newsletter (ART eMATTERS)
Newspaper advertisement
Website
Word of mouth
Other
Other:
Any further details or special requests for your visit :