Education Program Request Form

Complete this form if you would like to request an education program for school (including home school) students. We will reply to your request in email as soon as possible

This is NOT a confirmation of a booking, an Education Officer will reply to your request and confirm dates, time and details of your booking.

Email address and Phone number (numerals only) are required for correspondence. Please check the box if you do not wish to receive marketing material.

School


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Recieve promotional material
Check this box if you do not wish to receive marketing material from the State Library of WA
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Have you visited with students before?
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How did you hear about us?
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Group Details

Session Time:
Please select your preferred session time.
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Students with special needs
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Lift and other access facilities are available on site.

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Program

Will students be staying on for additional study after the program?
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Will students also visit Art Gallery and/or Museum?
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Page last updated: Monday 5 May 2014

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