Please note we are having issues with this form. If you have not received a response in two business days please call Science Space on 42865000 or email science-space@uow.edu.au
Please note: this form is simply an ENQUIRY. It does not ensure a final booking. All fields are required in order to submit.
Name
Mobile Number
Email
Phone Number
Street Address
Suburb/Town
State
Postcode
Type of group —Please choose an option—Preschool & Child CarePrimary SchoolHigh SchoolUniversityVacation CareAdults & SeniorsDisability ServiceHome School
Age of group —Please choose an option—Preschool (Ages 0-5)Early Stage 1Stage 1Stage 2Stage 3Stage 4Stage 5Stage 6Adults
Maximum number of children/student attendees
Maximum number of adult attendees (including teachers and parent helpers)
Preferred date #1 dd-mm-yyyy (unconfirmed until notified by Science Space staff)
Preferred date #2 dd-mm-yyyy (unconfirmed until notified by Science Space staff)
Preferred date #3 dd-mm-yyyy (unconfirmed until notified by Science Space staff)
Preferred start time (check all suitable times) 9:00am9:30am10am10:30am11am11:30am12pm12:30pm1pm1:30pm2pm2:30pm
What program option would you prefer? —Please choose an option—SCHOOL: 2 ½ hour visit - Exhibition, Planetarium, Theatre & STEM ZoneSCHOOL: 2 ½ hour visit - Focused STEM Zone WorkshopSENIORS: 90 minsVACATION CARE: Full day group booking (during School holidays)GENERAL GROUP: Full day (during School holidays)CUSTOM TIME AND DURATION (Science Space will provide a price based on your enquiry)
Are you arriving early for a morning tea break? (please allow at least 30mins for all groups larger than 60) —Please choose an option—NoYes, 20 minutesYes, 30 minutesYes, 45 minutesYes, 60 minutes
Are you staying afterwards for a lunch break? (please allow at least 30mins for all groups larger than 60) —Please choose an option—NoYes, 20 minutesYes, 30 minutesYes, 45 minutesYes, 60 minutes
Are there any particular science topics you wish to focus on?
All schools will enjoy our presenter-led Solar System Planetarium Show. Please select the Science show of your choice below. —Please choose an option—BubbleologyLiquid NitrogenEverything EnergySound & Music
Would you like your students to have the opportunity to buy souvenirs from the Science Shop? YesNo
Science Space is a COVID Safe venue that is fully equipped to cater for individuals of all ages and abilities. To ensure we provide the best experience possible, please indicate if your group includes a participant with any of the following: —Please choose an option—WheelchairHearing impairmentsLearning disabilitiesSensory sensitivitiesAutismBehavioural disabilities
How did you find out about us? —Please choose an option—Email newsletter for teachersFlyer or brochure received at schoolGeneral internet searchSocial mediaScience Space websiteWord of mouthPrevious visitOther
Are you interested in receiving our email newsletter? YesNo
This is an online request only. Your booking is NOT finalised until the Science Space has processed your request and provided a confirmation of booking date and indicative cost.
If you have any questions, please contact the Science Space booking office (Monday to Friday). Phone: (02) 4286 5000 Email: science-space@uow.edu.au
Your personal details are collected for the sole purpose of providing you with advice regarding a Science Space excursion, and if indicated, adding you to our enewsletter distribution. For more information please see the UOW Privacy Policy.
N.B. Please use the following format for preferred excursion dates: yyyy-mm-dd