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Request a puppet show

Introduction

If you are a school staff member and would like to book the Camp Quality Primary School Education Program, fill out the form below.



Your details / School details

First Name(*)
Please enter your first name.

Last Name(*)
Please enter your last name.

Position(*)
Please enter your position at the school

Email(*)
Please enter your email address

Contact Number (school)(*)
Please enter a number for school

Contact Number (mobile)
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School Address(*)
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Suburb(*)
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State(*)
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Postcode(*)
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My closest Camp Quality office(*)
Please select your closest Camp Quality Office

Would you like to be kept informed about Camp Quality?
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Name of school(*)
Please enter the name of your school

Please provide school hours (School start & finish, recess start & finish, lunch start & finish)(*)
Please enter your start/end date.

 

Booking details

Number of children attending(*)
Please select how many children will be attending

Number of performance required (Max 250 students per show)(*)
Please select how many shows you require

The performance requires an indoor venue. If there is no appropriate indoor venue, please provide details of a suitable outdoor space.
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Preferred date 1(*)
Please select

Preferred time 1(*)
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Preferred date 2

Preferred time 2(*)
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How your school is impacted by cancer?

Do you have children living with cancer?(*)
Please select

Year group
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Comment/Relevant information (i.e Stage of treatment type of cancer)
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Do these children have siblings at your school?(*)
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Year group
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Comment/Relevant information (i.e Stage of treatment type of cancer)
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Do you have children who have a parent living with cancer?(*)
Please select

Year Group
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Comment/Relevant information (i.e Stage of treatment type of cancer)
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Do you have children living with other serious illnesses/conditions? (i.e Alopecia)(*)
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Comment/Relevant information
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Comments
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Captcha*
Captcha
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