Bookings Incinerator Education Program Booking Please complete this form to request your student excursion to the Incinerator Gallery. The information you provide here will help us to plan for your visit.Main teacher contact for excursion* First Last Email* Phone number*When would you like to visit?Please check the exhibition schedule on the website to ensure the Gallery will be open.First Choice* Date Format: DD slash MM slash YYYY Time*10:00am11:00am12:00pm1:00pm2:00pmSecond Choice* Date Format: DD slash MM slash YYYY Time*10:00am11:00am12:00pm1:00pm2:00pmSelect one tour type:*What is Art?Community, Change and CreativityThird ChoiceExhibition ViewpointsLooking to WriteIdeas and Styles in ArtworksArt Industry ContextsSchool Name*Student Year Level*KinderF123456789101112TAFE / TertiaryAnticipated number of students*Anticipated number of teachers (and other chaperones)*Do you have any specific learning goals for this visit? Is there any other relevant information we should be aware of?Is there anything, in particular, you would like the students to gain from this experience.How did you find out about Incinerator Gallery Education Programs? Promotional postcard Email/enews Printed program Council website Facebook/social media Word of mouth Other How will your students travel to the Incinerator Gallery?Need help to complete this form?Contact Christine Healey via email CHealey@mvcc.vic.gov.au or phone 03 9243 1740.Privacy StatementMoonee Valley City Council (Council) is collecting your personal information through this form in order to receive your excursion booking and to contact you regarding this booking. Council will not disclose your personal information without your consent, except where required to do so by law. To request access to your personal information, or for other queries regarding the privacy of your personal information, please email firstname.lastname@example.org.