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THE PRESENTER
Presenter Name 1:
Presenter Name 2:
Presenter Name 3:
Organisation/School Name:
Phone:
Mobile:
Contact Email:
THE ACTIVITY
Participation Type: Presentation/Lecture Interactive Workshop Static Display
Activity Title:
Activity Summary: Please provide a short description of the activity. This information will be used in all communications.
Number of Sessions: Activities should be no more than 45 minutes long and it is preferred they are run at each four scheduled times during the day as listed. Please indicate at which times you can run your sessions: 10:00 am 11:00 am 12:30 pm 1:30 pm Other...Please Explain Other
Length of Sessions: It is preferred activities are no more than 45 minutes 45 minutes 1 hour continuous static display Other...Please Explain Other
Target Audience: Year Levels 4 5 6 7 8 9 10
Size of Audience: For ease of scheduling it is preferable that activities are suitable for 30 students, however if this is absolutely not possible, please indicate maximum class size.
Theatre capacity 30 students 25 students 20 students 15 students 10 students Other...Please Explain Other
Theatre capacity 30 students 25 students 20 students 15 students 10 students
Other...Please Explain Other
Equipment and Venue Requirements: Please select all equipment required.
Costs: Please outline any costs you will charge the Science at the Lakes Committee for your activity.
If you have any other requirements please outline in the box provided.
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