1. Education Programs Booking Form 2013 SchoolDate of Visit AddressContact Names Lead Teacher Second EmailPhone FaxMobile Year LevelNumber of Students Number of Adults Arrival TimeDeparture Time Special Requirements Such as student special needs. Please confirm that you have read our health and safety briefing on page 2. Bookings can not proceed without acknowledgement. (Circle) YesNo PackageCost per Student Minimum numbers required* Maximum numbers * Tick to choose Coal Creek Experience 1$11.00 25200 Coal Creek Experience 2$8.00 30200 Coal Creek Experience 3$8.00 20200 Coal at the Creek$7.00 20200 It’s a child's life! 1901 style$12.00 20130 A Pioneers Life$11.00 20200 Lessons from the Past$7.00 20200 * Outside of these numbers phone Coal Creek for help Extras to enhance visitCost per itemNumber required Miners Crib Lunch$7.50 Wanted Poster$5.00 Slate and Pencils$12 email booking form to education@southgippsland.vic.gov.au

2. Community Park and Museum Health and Safety briefing for visiting Educational Parties Whilst on site teachers and accompanying adults are responsible for their students at ALL times. (Ratio required 15:1) Schools are responsible for any first aid that students may require and MUST bring a first aid kit and have a designated first aider. However, Coal Creek has designated staff to assist if required. If you require an Ambulance, notify a member of staff. All 000 calls must go through the front desk, as this is the first point of call for the emergency services. A lead teacher needs to be appointed and acknowledge on the booking form. This member of staff is responsible for explaining all health and safety matter regarding your visit to ALL supervising adults. Emergency evacuation procedure You will hear the emergency warning siren. Remain calm. Please take your students promptly to the nearest EMERGENCY SAFE ASSEMBLY area, marked as on the map below. If a member of your party is missing. Please advice a member of staff immediately. DO NOT UNDER ANY CIRCUMSTANCES RE-ENTER THE PARK. You must wait for the all clear from the Chief Evacuation Officer. Please return completed booking form to education@southgippsland.vic.gov.au education@southgippsland.vic.gov.au For assistance call 5655 1811