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 are your preferred dates to visit?Please check the exhibition schedule on the website to ensure the Gallery will be open.First Choice* DD slash MM slash YYYY Time*10:00am11:00am12:00pm1:00pm2:00pmSecond Choice* DD slash MM slash YYYY Time*10:00am11:00am12:00pm1:00pm2:00pmSelect a tour type:*What is Art?Community, Change and CreativityExhibition ViewpointsLooking to WriteIdeas and Styles in ArtworksArt Industry ContextsOther - please specify in text box belowSchool 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.We are a child safe organisationMoonee Valley City Council is committed to being a child safe organisation with a zero tolerance for child abuse, and will protect the interests and safety of children at all times in accordance with the Victorian Child Safe Standards and related legislation. All children, regardless of their gender, race, religious beliefs, age, disability, sexual orientation, or family or social background have equal rights to protection from abuse. We are committed to the cultural safety of Aboriginal children and those from culturally and linguistically diverse backgrounds, and to providing a safe environment for children with a disability. We promote and are committed to the safety and empowerment of children as active citizens. We foster a culture of openness and inclusiveness, as well as supporting all staff and volunteers to understand the importance of child safety and well being, and ensuring consistent adherence to child safety and policies and procedures. We demonstrate committed leadership by creating safe environments for children and young people participating in our community programs and activities.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.