Local Students Form

LONE PINE KOALA SANCTUARY
Since 1927

Meet a koala, hand-feed kangaroos and engage with a large variety of Australian wildlife in Lone Pine's beautiful, natural settings. Guests experience happy, healthy animals and engaged staff, as well as the opportunity to support conservation and enjoy educational opportunities.

Contact Details

Contact Person

Name of contact:*

First

Last

E-mail:*

Mobile phone number:*

School Information

Name of school:*

Phone number:*

Area Code

Phone Number

Address:*

Street AddressSuburbPost code

1/5

Excursion details

Date (1st preference):*

Date (2nd preference):*

Arrival time:*

Departure time:*

Year level/s:*

Number of special needs students:*

Number of special needs chaperones:*

Number of students (excl. special needs):*

Number of chaperones (excl. special needs):*

* A chaperone includes teachers, teacher aides and any additional adults included on the schools invoice.

2/5

Learning experience details

Self-guided day: This unassisted experience does not include a session with the Education Team or free-range animal food.

- $13/student

Discovery session package: Includes a 45 minute curriculum linked session with the Education Team plus a bag of free-range animal food for each student (to feed kangaroos and wallabies). Must have (or pay for) minimum of 15 students.

- $15/Kindy-Year 6 student

- $16/Year 7-10 student

- $17/Year 11-12 student

Optional extras: numbers are calculated based on number of students on the booking request, but must be confirmed 10 working days prior to the excursion or cannot be guaranteed.

Lunch pack #1: Platter of assorted sandwiches and fruit salad.

Lunch pack #2: 3 x chicken nuggets and fruit salad.

Experience type:*

Self-guided day

Discovery session package

Study themes:

Optional extras:

Free-range animal food ($1 each) (included with Discovery Session Package)

Lunch pack #1 ($8 each)

Lunch Pack #2 ($8 each)

Number of free-range animal food:

Number of lunch pack #1:

Number of lunch pack #2:

Lunch pack pick up time:

Discovery session package details (discovery session package groups only)

Discovery session type:*

Class Size Breakdown (Discovery session package groups only)

If you have more than one class, please enter the name of the class and associated student numbers in the spaces provided.

If your class sizes are greater than 30 students, they will be divided into smaller groups for the Discovery Session. (For example, one class of 32 will be divided into two groups of 16).

Classes may also be combined for the Discovery Session. (For example, three classes of 20 students will be combined into two groups of 30).

Class 1 (e.g. Prep Blue, 22):

Class 2:

Class 3:

Class 4:

Class 5:

Class 6:

Class 7:

3/5

Payment details

Accounts payable officer:*

First

Last

Accounts e-mail:*

Accounts phone number:*

Area Code

Phone Number

Payment date:*

Preferred payment method:

4/5

Terms and conditions

Confirmation of booking request: Registration of your interest does not automatically guarantee an excursion date. Completing this online form does not automatically guarantee an excursion date. Dates are held and your booking in confirmed once you receive a confirmation email from the Education Team.

Optional extras: Numbers are calculated based on number of students entered in this booking request. Final numbers must be confirmed at least one working day before excursion. Changes made 10 or fewer working days prior to excursion are not guaranteed.

Chaperones: Chaperones are counted as all adult accompanying persons. Staff, support staff, parents/guardians, carers etc.

Free of charge chaperone policy: Chaperones in excess of free ratio will be charged at the standard retail adult entry rate.

Kindy – 1:3 (1 chaperone for every 3 kindy students)

Prep to Year 2 – 1:5

Year 3+ – 1:10

Special needs – 1:1 (upon presentation of carer card or letter from principal)

Cancellation and postponement: Bookings cancelled or postponed 10 or more working days prior to the excursion date are not charged. Bookings cancelled or postponed less than 10 working days leading up to the excursion may incur a 50% charge. This charge does not apply for extreme weather conditions. Failure to attend an excursion without notice will be charged the full cost of the excursion.

Prices: All prices are inclusive of GST and are subject to change without notice. Students, chaperones and optional extras not included in this online form or are not confirmed as additions prior to your excursion will be required to pay full retail rates. Payment must be made in one payment to receive rates listed on this form.

I have read and understood these terms and conditions*

5/5

﻿Contact Details