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.
  • When are your preferred dates to visit?

    Please check the exhibition schedule on the website to ensure the Gallery will be open.
  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • Is there anything, in particular, you would like the students to gain from this experience.
  • Need help to complete this form?

    Contact or phone 03 9243 1750
  • We are a child safe organisation

    Moonee Valley City Council is committed to being a Child Safe Organisation ( with 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. Verbal permission is acceptable for photo/video/film or interview subjects over the age of 16. For photo/video/film subjects aged 16 years or under, OR subjects requiring support with decision-making, this form must be completed by their parent/guardian/carer.
  • Privacy Statement

    Moonee Valley City Council (Council) is collecting your personal information through this form in order to obtain your permission to use your photo/video/film or interview for publication on our website, social media channels, print media, advertising, etc. Your information and your child’s information will be stored in Councils document management system. Council will not disclose your personal information without your consent, except where required to do so by law. Contact to request access to your personal information. For further information on how your personal information is handled, refer to Council’s Information Privacy Policy (