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For the Wipe Out Waste Challenge

* Required fields


School Name*
Contact Teacher*
School Address*
School Surburb*
Telephone*
Email*
We are interested in
   
   
   
Please indicate how many classes for each grade
Prep
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Composite Classes ( Please list)
Other
Preferred dates for participation in the Wipe Out Waste Challenge lessions
Date 1
Date 2
Date 3
Every attempt will be made to meet your preferred booking date however this may not always be possible.

An email will be sent to you to confirm receipt of registration form.

Should you require any further information please do not hesitate to contact the program coordinator, Toni Lee, on 07 5581 6855
Additional Comments

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