Application form

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Before you complete this form

Review our programs to explore the available options and details before submitting your booking application.

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Privacy statement

The Department of Education through Stanley River Environmental Education Centre is collecting personal information in accordance with Education (General Provisions) Act 2006 in order to register your interest in programs and activities. The information will only be accessed by Department of Education. The information will not be given to any other person or agency unless consent is provided.

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School *

Program (select 1) *

Our programs are designed to deliver speciﬁc parts of the Australian Curriculum. The best student learning happens when our teachers work with visiting teachers to ﬁnetune programs so that they complement your school’s curriculum.

Student year/grade level *

Learning intentions for the program *

If selecting Duke of Edinburgh Adventurous Journeys, please specify award level (Bronze/Silver/Gold), practice or qualifying and what mode (canoeing/hiking/mixed).

Duration of program

Coordinator's name *

Coordinator's phone number *

Coordinator's email *

Anticipated numbers – students *

Schools must bring 1 teacher for each group and sufficient extra staff to meet the needs of the students and the demands of the program. Standard camp programs have a maximum group size of 24 students.

First date preference - start date

Second date preference - start date

Third date preference - start date

Principal’s verification

I hereby apply to Stanley River Environmental Education Centre for a booking for this school according to the information contained in the above form. I accept the centre’s booking conditions as outlined on the website.

Principal’s name

Principal's email

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Application form

Before you complete this form

​​​​​​​​​​​​​​​​​Privacy s​​tatement

Privacy statement