Schools Awareness Workshops Booking Form

BOOK A WORKSHOP

Fill in this form to schedule a Vision Loss in our Communities awareness workshop at your school. Blind Low Vision NZ will endeavour to confirm delivery on the dates specified that best fit in the school calendar – where this is not possible, we will work with you to find an alternate delivery date(s).

Your Contact Details

Your Name

Email

Phone

School Details

School Name

Street Address

Suburb

Town/City

Workshop Information

Year groups participating in the workshops (tick 1 or more as appropriate)

PreschoolYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8

Total number of students

Booking Preferences

Select your preferred date for this workshop.

Select two alternate dates, in case we are already booked.

School Facilities

Does the School have a school hall, or another indoor space to use for the workshop?

YesNo

Does the delivery space have facilities to show presentations?

YesNo

We look forward to seeing you at your school soon!

Contact Information