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Life Choices Program – Booking Form Private

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Life Choices Program – Booking Request

GENERAL INFORMATION

Main Contact / Session Coordinator

(This contact must be available ON THE DAY and when the LCF team arrives)

Second Contact

(If applicable or if Main Contact is on class at LCF arrival time)

Presentation Information

WE REQUIRE A MINIMUM OF 60 MINUTES PRESENTATION TIME. All other activities i.e. roll call, students being seated etc, must be in addition to this.
(Recommend approx. 15/20 mins)
Is the car viewing during class time?
Is it during a break?
(Must be in a high impact area where students congregate e.g. main quadrangle / canteen area)
Please confirm the presentation will be run through the Welfare & Wellbeing Curriculum
Please confirm the presentation has been put in the school calendar

MANDATORY FEEDBACK SURVEYS

Your survey preference
(Please note surveys are compulsory and form part of this agreement. A fee of $500 may be charged by LCF to schools that receive the program free of charge (sponsored) and do not provide the feedback forms)
Date surveys will be completed

SCHOOL INFORMATION

Year Group(s) attending
(Minimum 100 students, Year 10 students preferred, however other year groups may be added if required for minimal numbers)
(Break down into year groups if applicable)
School type
Do students need to have names marked off?
mins

PRESENTATION VENUE

Confirm the presentation venue will be available on arrival
Chairs (Must be provided for students)

STAGE REQUIREMENTS - A SUITABLE STAGE NO MORE THAN 60 CM HIGH MUST BE PROVIDED

Stage - Please confirm ALL details of what option you have
Photos of proposed presentation area & stage (Please provide a photo of the area/room you are hosting us in)

AUDIO VISUAL EQUIPMENT & AV CONTACT DETAILS

Life Choices require specific AV and Sound equipment to run the presentation. Please confirm the availability of the following items

Data Projector with HDMI cable (10m required)
Is the VGA/HDMI connection at front of stage?
Screen for Projection - Please provide size
Cordless Microphones x 1
Sound system / Speakers / Amplification
Is the sound run from the front i.e. near stage?

Audio Visual Contact

(If AV contact is not the Main Contact / Session Co-Ordinator) NB: Please ensure AV contact is available 1 hour prior to presentation to assist with set up

ADDITIONAL INFORMATION

Social Media Contact

(Must be a contact we can correspond with about promoting our visit via social media)

Do you have any students who may be triggered by certain topics? If so, what topics would they be? Are there any specific issues the school community is currently experiencing that we should be aware of before our visit?
Do you require any other details of the presenter other than their WWCC?
Are you interested in receiving information about our other programs?

BOOKING APPROVAL

Principal/Deputy Principal approving our visit

This approval includes your acknowledgement that our MANDATORY feedback forms will be completed and provided to us within 48 hours of our visit. This is conditional on our attendance and you agree to students and staff completing this task by signing this form.

Position:
*Important information please read these terms before signing Life Choices Foundation is committed to Youth Wellbeing and Health Programs and thanks to our sponsorship we are able to keep the fees low. To secure our attendance, however, we do require schools to adhere to the Terms & Conditions of the Agreement. Terms & Conditions: Payment: Invoices are to be paid no later than 14 days prior to the booking date. Cancellation Policy: Once your booking form has been received and the booking confirmed by Life Choices Foundation, a 21 day cancellation policy will apply. If the School cancels within this 21 day period, the full booking amount will be payable. However, if Life Choices Foundation is able to fill the vacated spot with an alternative booking, the cancellation fee may be waived at our discretion. By returning this signed agreement, you also agree to have staff and students complete the feedback survey forms provided and return these within 48 hours unless otherwise agreed by us. Thank you for your booking. We are looking forward to bringing the Life Choices Program to your school!
Please print, sign and return to manager@lifechoicesfoundation.com.au
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The Life Choices Foundation acknowledges the Aboriginal and Torres Strait Islander peoples as the first inhabitants of this nation and the traditional custodians of the lands where we live, learn and work.

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