1. Education Programs Booking Form 2016 SchoolDate of Visit Full Address for invoice purposes Contact Names Lead Teacher EmailPhone FaxMobile Number of students Final numbers to be confirmed no less than 7 days in advance for invoice. Year Level Number of Adults (1:12 ratio) Arrival TimeDeparture Time Special Requirements Such as student special needs and allergies Please confirm that you have read our health and safety briefing and important information 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 School Lesson, Early Settlement tour, Train /Tractor ride $12.0025200 Coal Creek Experience 2 School Lesson, Train/Tractor ride $9.5030200 Coal Creek Experience 3 School Lesson, Bush Cooking, General Store $9.5020180 It’s a child's life! 1901 style School Lesson, Old Fashioned Craft, Bush Cooking, General Store $12.5025180 A Pioneers Life Pioneer Timber Skills, Bush Cooking, General Store, Settlement Tour $11.7525120 Lessons from the Past School Lesson, Sustainability : A thing of the Past? $9.0025200 Coal Creek Self Guided Interactive Tour (small groups only) Tablet devices take students on a tour. Booking fee of $25 applicable $5.00-20 * Outside of these numbers phone Coal Creek for help Extras to enhance visitCost per itemNumber required Hire of Picnic Games equipment (only available to schools booking our programs)$25.00 per set Wanted Poster$5.50 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 12:1) 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 acknowledged 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. Important Information Your final numbers must be confirmed 7 days in advance and this is the number you will be invoiced for. If your numbers come below our minimum required to run the program then you will be charged for the minimum number of participants. Cancellation fees apply for programs cancelled less than 48 hours before visit. Please return completed booking form to education@southgippsland.vic.gov.au education@southgippsland.vic.gov.au For assistance call 5655 1811