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First Name*
Last Name*
School/Organisation/Group Name*
Phone*
Email*
Visit type* Excursion Incursion Homeschool Excursion Homeschool Incursion Exclusive use Private workshop
Preferred Visit Date*
Preferred Time of Visit --None-- AM PM
Preferred Excursion Topic --None-- Delicious DNA How Sweet It Is! Get a Lung of this Microscopic World Food Futures Meet a researcher
Preferred Incursion Topic --None-- Get a Lung of this Germs! Poo and you How Sweet It Is! Meet a researcher
Purpose of booking (e.g. birthday party)
Group size*
Year group*
Questions or Comments
How did you hear about the Discovery Centre Schools Program? --None-- Discovery Centre Facebook Friend told me PCH Directory Kiosk PCH Staff Schools Program TKI Staff Member TKI Website Walked past Other
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