Request an Outreach Booking

Please complete the below Outreach Booking Request forms so we can determine how we may best help you.

We will be in contact with you shortly.

Name

This field is for validation purposes and should be left unchanged.

For Anonymous Submissions, the Name, Address and Phone Number Fields below are Optional and Not Required

Preferred date of visit

Requested time

Location

Address (Location)

Please complete if you are requesting an incursion

Please provide a brief description of your incursion or excursion request

Name of school or organisation

Number of attendees

Please note: if more than 15 people are attending an excursion to ChemCentre, the group will need to be split for laboratory tours

Age/Year level

Primary School

Year 7-10

Year 11-12

TAFE/University

Community Group

Contact Name

Phone Number