Vacation Care Booking Form

STEP 1: SCHOOL AND CONTACT DETAILS
School Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*

Teacher's Details*
Please provide your details
Prefix First Last
Mobile Phone*
Teacher's Email*
This email address will be used for all essential communications.
Enter Email Confirm Email
Admin/Accounts Email*
This email address will be used for invoicing.
Enter Email Confirm Email

Additional Teacher's Details
If another teacher is attending on the day please provide their details so we can communicate essential and up to date information to them prior to the event. If this is not applicable, please click 'next'.
Prefix First Last
Email
Enter Email Confirm Email

STEP 2: INDICATE PERFORMANCE, DATE, TIME, NUMBER OF STUDENTS AND NUMBER OF TEACHERS ATTENDING
Note: Riverside offers one (1) free teacher’s ticket for every twenty (20) paying students for performances (unless otherwise specified). Additional teachers are charged at the student price. Any additional carers/teachers required for specific needs purposes will not be charged.Please indicate how many are required by completing this request at Step Three. There will be a booking fee of $4.60 applied to each performance.
Performance/Event Name Number 1*
Please enter the name of the event or performance you wish to book. If your event has a variation on package eg show only, show and documentary, show and workshop etc, please indicate this at this point.
1st Preference - Performance Date*
Date Format: MM slash DD slash YYYY
1st Preference - Performance Time*

: HH

MM
2nd Preference - Performance Date
Date Format: MM slash DD slash YYYY
2nd Preference - Performance Time

: HH

MM
Number of Students Attending*
Number of Teacher's Attending*
Do you wish to add a second event to your booking?*
- Yes
- No
Please Note: If you select 'no', please continue to click 'next' on the following pages until you reach the next step.

Performance/Event Name Number 2
1st Preference - Performance Date
Date Format: MM slash DD slash YYYY
1st Preference - Performance Time

: HH

MM
2nd Preference - Performance Date
Date Format: MM slash DD slash YYYY
2nd Preference - Performance Time

: HH

MM
Number of Students Attending
Number of Teacher's Attending
Do you wish to add a third event to your booking?
- Yes
- No
Please Note: If you select 'no', please continue to click 'next' on the following pages until you reach the next step.

Performance/Event Name Number 3
1st Preference - Performance Date
Date Format: MM slash DD slash YYYY
1st Preference - Performance Time

: HH

MM
2nd Preference - Performance Date
Date Format: MM slash DD slash YYYY
2nd Preference - Performance Time

: HH

MM
Number of Students Attending
Number of Teacher's Attending
STEP 3: SPECIFIC ACCESS REQUIREMENTS
Please indicate below how we can assist with disability access.
The more detailed you can be in describing the support required the better prepared Riverside staff will be to assist in creating an inclusive experience. Examples of access include level or wheelchair access, seat transfer, companion seating, social story for learners with ASD, hearing loop receivers for people hard of hearing, FM receivers for live description specifically for people blind or vision impaired. For more information click here
Alternatively
- Please contact me to discuss the needs of our students.

STEP 4: BOOKING TERMS AND CONDITIONS
Booking Terms and Conditions*
An invoice for the deposit amount of 25% will be issued within 5 business days of submitting this form. The deposit is nonrefundable and will be deducted from the total amount due. Confirmation of final numbers and final balance is required 4 weeks prior to the performance date. Once full payment is received numbers cannot be reduced. Requests for additional tickets must be submitted in writing and are subject to availability. Riverside will accommodate your preferred performance times if possible but cannot guarantee availability. Please check your invoice carefully as this is confirmation of your booking date and time. Bookings are by first come, first served basis.
- I have read and understand the terms and conditions

STEP 5: HELP RIVERSIDE REACH YOU BETTER
How did you hear about this event/these events?
How did you hear about this event?*
- Riverside Education Pocket Guide (Mailed)
- Riverside Brochure (Picked one up)
- Riverside Brochure (Given to me by a colleague)
- Riverside Education e-Newsletter
- Riverside Website
- Fax Broadcast
- Word of Mouth
- Social Media
- Other
If other, please specifiy:

STEP 6: CHECKLIST
Any other comments
Do you have any other comments that our Education Booking staff need to know?
CAPTCHA

STEP 1: SCHOOL AND CONTACT DETAILS