Pre Presentation Booking Form

Name of school(Required)

State(Required)

Name(Required)

First Last

Main contact

Title(Required)

Main contact

Email(Required)

Main contact

Principal's name

If different from main contact

Total number of students attending(Required)

Numerical value only

Total number of sessions(Required)

Up to 50 students per session is ideal, however more can be accommodated. We will discuss and confirm session configuration with you.

Session 1: Date

Session 1: Time

Session 1: Number of students

Session 1: Year/class groupings

Session 2: Date

Session 2: Time

Session 2: Number of students

Session 2: Year/class groupings

Session 3: Date

Session 3: Time

Session 3: Number of students

Session 3: Year/class groupings

Session 4: Date

Session 4: Time

Session 4: Number of students

Session 4: Year/class groupings

Session 5: Date

Session 5: Time

Session 5: Number of students

Session 5: Year/class groupings

Session 6: Date

Session 6: Time

Session 6: Number of students

Session 6: Year/class groupings

Session 7: Date

Session 7: Time

Session 7: Number of students

Session 7: Year/class groupings

Session 8: Date

Session 8: Time

Session 8: Number of students

Session 8: Year/class groupings

Session 9: Date

Session 9: Time

Session 9: Number of students

Session 9: Year/class groupings

Session 10: Date

Session 10: Time

Session 10: Number of students

Session 10: Year/class groupings

Session 11: Date

Session 11: Time

Session 11: Number of students

Session 11: Year/class groupings

Session 12: Date

Session 12: Time

Session 12: Number of students

Session 12: Year/class groupings

Session 13: Date

Session 13: Time

Session 13: Year/class groupings

Session 13: Number of students

Session 14: Date

Session 14: Time

Session 14: Year/class groupings

Session 14: Number of students

Any notes about the above?

Approximately how many of your students take the bus to school already?(Required)

Will there be students with special needs or mobility issues?(Required)

Please provide detail of how we can best accommodate them.

Are there any sensitivities, such as accidents or incidents that have occurred, that the Presenter needs to know about so they can be prepared and diplomatic?(Required)

Examples could include a recent bus-related incident at the school, or an accident involving the family of a child.

Where will the discussion part of the session be held?(Required)

For example, in the School Hall.

Our presenter carries the BusSAFE presentation on a laptop with an HDMI cable to plug into your audiovisual system. Will this technology work at your school?(Required)

Yes

Name (school bus coordinator)

If your school has one

Email (school bus coordinator)

If your school has one

Where is the safest place to park the bus(es) for the safety inspection?(Required)

Primary Schools only - if your session is for a high School, please enter the NA in the box above. Bear in mind there will be children milling all around the bus, so inside school grounds is best. Our presenter will review the area for suitability when they arrive and may propose a different parking spot.

Are the buses that service your school:(Required)

Private operator/contractor

Yellow school buses

A combination of both contractor and yellow buses

None of the above

Can you please provide some detail about the previous question? Our Presenter will be contacting bus operators and drivers to seek their cooperation and ensure buses are available for the sessions.(Required)

EG: Which private operator services your school? Who drives your yellow buses? What size buses visit your school, and which is predominant? Primary Schools only, please enter NA if you are a High School Representative.

We may ask to take a couple of photos to use on our website or Facebook/Instagram page.(Required)

Okay to photograph the back of student's heads

Okay to take a photo of presenter with children whose parents have given permission

Other:

Please check this box if you consent to us sharing your contact details with our partners, for occasional notifications relating to school bus safety.

Yes

Pre-Presentation Booking Form

Pre Presentation Booking Form

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