tes form - Interaction

Name:

Which room would you like to book?

Sensory RoomActivity Room

Do you need the Activity Room Kitchenette:
YesNo

What will the Activity Room be used for?

Is this booking on behalf of an Organisation?

YesNo

Organisation Name:

Organisation ABN:

Does the organisation hold adequate insurance for staff and/or volunteers who will be attending?

YesNo

Phone:

Email:

Date(s) Required:

Time(s) Required:

No. of Participants:

No. of Staff:

Pricing and payment will be confirmed once booking form has been sent.

For pricing information refer to Sensory Room Flyer or Activity Room Flyer.

By submitting this document you have agreed that you have read and understood the Sensory Room Terms & Conditions and/or the Activity Room Terms & Conditions.