Community Engagement Booking Request We collect personal information (e.g. email address details) to address your matter, and will only disclose it to third parties if authorised by law or with your consent. To find out further information, please refer to our privacy statement.All fields marked with an * must be completed before submitting the form. Contact details Contact name Name of organisation (if required) Phone number Email address Email address Confirm email Preferred contact method Email Phone Approximate age of group Multiple ages can be selected 3-5 6-11 12-17 18-34 35-54 55 or over Event details Location of event Address line 1 Address line 2 Suburb Post code Event description Do you have any of the following equipment available that our presenter can use? Whiteboard Computer compatible screen Wi-Fi connection Table Other… Enter other details… Preferred date and time Preferred date and time: Date Preferred date and time: Time Please note date and time is subject to availability. Other Information CAPTCHA CAPTCHA helps prevent bots from spamming or overloading our site. Submit presentation request #f6a800
