Water Safety Booking Form

Bookings are now open for the City of Newcastle's Water Safety Education Program. Our free water safety education presentations will run from Monday 24 July to Friday 15 September 2023. The program is available to primary schools in the Newcastle local government area. Please complete the booking form before Wednesday 7 June 2023.

Contact details

School name

Contact name

Someone who we can liaise with

Street address

Suburb

State*

Postcode*

Postal address

Contact number

Landline or mobile

Preferred form of contact

Phone Email

Program information

Please list two dates and times suitable (from 24 July to 15 September)

Date 1

Please select the first suitable date between 24 July and 15 September 2023

Time 1

Date 2

Please select the second suitable date between 24 July and 15 September 2023

Time 2

Please also list dates that are unsuitable for when we are scheduling

1. Date

2. Date

3. Date

How many presentation sessions will your school require?

How many presentation sessions will your school require

Please list the number of students attending each session and which grade they are from

Session 1

Session 1

No. of students attending

Grades attending (eg K - Year 2)

Session 2

Session 2

No. of students attending

Grades attending (eg K - Year 2)

Session 3

Session 3

No. of students attending

Grades attending (eg K - Year 2)

Session 4

Session 4

No. of students attending

Grades attending (eg K - Year 2)

General Information

What are your school's start and finish times

Start

Finish

Recess start and finish

Start

Finish

Lunch start and finish

Start

Finish

Special Needs

Please advise if any Special Needs lectures are required

Lectures

Location of lectures

Capacity of lecture rooms

IT equipment available

Smartboard Computer Projector and screen Microphone Other

If other selected please specify

Please provide parking details

Any additional information?

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City of Newcastle acknowledges that we operate on the grounds of the traditional country of the Awabakal and Worimi peoples.
We recognise and respect their cultural heritage, beliefs and continuing relationship with the land, and that they are the proud survivors of more than two hundred years of dispossession.
CN reiterates its commitment to address disadvantages and attain justice for Aboriginal and Torres Strait Islander peoples of this community.