On-site program selection

FOR SECURITY PURPOSES, ALL ADULTS ACCOMPANYING SCHOOL GROUPS MUST PRESENT CURRENT PHOTO IDENTIFICATION

Booking details
School

Contact teacher Mobile phone (while travelling)

School level Is your booking for more than 1 school or campus?

Primary Secondary Combined prim/sec Yes* No
*If ‘Yes’, please list each school in the table below.
Please confirm your final numbers and details Please Ensure table below is completed

If multiple schools / campuses Time of Number of Number of Year Students with

Group travelling - list each one with no's Date visit students adults level special needs?

1 Yes No

2 Yes No

3 Yes No

4 Yes No

5 Yes No

6 Yes No

7 Yes No

8 Yes No

Please list any special needs your students may have (including wheelchair access)
Hearing Visual Intellectual Physical
Details

Program selection Keep up-to-date and

(to be made by the teacher coordinator) video conferencing
Debating a bill Join our Educators List to be notified about free learning materials
For students of any year level who have just begun their and classroom resources.
study of parliament.
Email address
Debating a bill with amendments
For students with an understanding of basic parliamentary
process and/or have taken part in class parliaments.
Interested in PEO programs and resources
Special interest Interested in video conferencing
If your students are already familiar with the work of the
Parliament, please email us at peoinfo@aph.gov.au or call
02 6277 3508 to plan for your particular needs.

Submit form
SUBMIT BY EMAIL* PRINT
ELECTRONICALLY – Complete and submit by email
using the 'submit form' button*
* The 'submit by email' feature will not be possible for everyone.
BY EMAIL – Print, scan and email to: peoinfo@aph.gov.au If it doesn’t work for you, please print the form and scan and
email it to peoinfo@aph.gov.au