Booking Request Form

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*School / Group Name

*Contact Name / Position

*Phone Number	Fax Number

*Email

*Preferred Date of Booking

*Year of Students	*Age of Students

*Number of Students	*Number of Adults

*Programe Requested
Toroa at Taiaroa - Primary Yr 4-8 A is for Albatross - Primary Yr 1-3 Pukekura Toroa - Primary Yr 2-6 Save our Seabirds - Primary Yr 4-8 Flight and Feathers - Primary Yr 4-8 Classroom Presentation - Primary  Conservation Management of Seabirds - Secondary Yr 9-12 Seabird Behaviour - Secondary Yr 13 Human Impact on Taiaroa Head - Secondary Yr 12 Albatross and Fort Tour - International Albatross Conservation Tour - International Albatross Pre-School - Early Childhood 
*Where did you hear about this programme:

*Learning Objectives (please specify curriculum objectives)

Any other special requirements