School / Organisation

Position

Email

Contact Number

What year level(s) are you wanting us to work with?

If this is NOT a school or student workshop, please provide a rough guide on participant demographic and their age group.

How many students in each year level?

Preferred booking date (1)

Preferred times (1)

Please indicate the preferred lesson time(s).

Preferred booking date (2)

Preferred times (2)

Please indicate the preferred lesson time(s).

How did you hear about EE?

Other information

Please let us know of any specific requirements, concerns or queries you have regarding your students, workshop or event.