Education Programs Booking Form July 2015

School Date of Visit

Address Contact NamesLead Teacher

Email Phone

Fax Mobile

Year Level Number of Students

Number of Adults

Arrival Time Departure Time

Special Requirements

Such as student special needs.

Please confirm that you have read our health and safety briefing on page 2.Bookings can not proceed without acknowledgement. (Circle)

Yes No

Package Cost per Student

Minimum numbers required*

Maximum numbers *

Tick to choose

Coal Creek Experience 1School Lesson, Early Settlement tour, Train /Tractor ride

$11.50 25 200

Coal Creek Experience 2School Lesson, Train/Tractor ride

$8.50 30 200

Coal Creek Experience 3School Lesson , Bush Cooking, General Store

$8.50 20 180

It’s a child's life! 1901 styleSchool Lesson, Old Fashioned Craft, Bush Cooking , General Store

$12.50 25 180

A Pioneers LifePioneer Timber Skills, Bush Cooking, General Store, Settlement Tour

$11.50 25 120

Lessons from the PastSchool Lesson, Sustainability : A thing of the Past?

$8.00 20 200

* Outside of these numbers phone Coal Creek for help

Extras to enhance visit Cost per item Number required

Miners Crib Lunch $8.00

Wanted Poster $5.50

Slate and Pencils $12

email booking form to education@southgippsland.vic.gov.au

Community Park and Museum

Health and Safety briefing for visiting Educational Parties

Whilst on site teachers and accompanying adults are responsible for their students at ALL times. (Ratio required 15:1) Schools are responsible for any first aid that students may require and MUST bring a first aid kit and have a designated first aider. However, Coal Creek has designated staff to assist if required. If you require an Ambulance, notify a member of staff. All 000 calls must go through the front desk, as this is the first point of call for the emergency services. A lead teacher needs to be appointed and acknowledge on the booking form. This member of staff is responsible for explaining all health and safety matter regarding your visit to ALL supervising adults.

 Emergency evacuation procedure

 • You will hear the emergency warning siren.

• Remain calm.

• Please take your students promptly to the nearest EMERGENCY SAFE ASSEMBLY area, marked as on the map below.

• If a member of your party is missing. Please advice a member of staff immediately.

• DO NOT UNDER ANY CIRCUMSTANCES RE-ENTER THE PARK. You must wait for the all clear from the Chief Evacuation Officer.

Important Information

If your numbers come below our minimum required to run the program then you will be charged forthe minimum number of participants. Cancellation fees apply for programs cancelled less than 48 hours before visit. Please return completed booking form

to education@southgippsland.vic.gov.auFor assistance call 5655 1811