First Aid in Schools Program Booking Form

This form is for Victorian Primary Schools. If you are a Kindergarten or Early Learning Centre interested in the program, complete an Expression of Interest (EOI) here to go on the waitlist.

Your information

Please fill out your information. This is so we can contact you to confirm your booking.

First name *

Last name *

Mobile number *

Email *

School information

General contact information for your school

School name *

Phone number *

Street address & Suburb *

Postcode *

School hours

School start time *

School finish time *

Recess start time *

Recess finish time *

Lunch start time *

Lunch finish time *

Number of classes participating

Please put the total number of classes that will be participating per grade. Minimum of 90 students is needed with a minimum of 30 students per class (maximum 40 students)

Which class groups will be participating? *

Prep/Foundation

Grade 1/Grade 2

Grade 3/Grade 4

Grade 5/Grade 6

I confirm that I have a minimum number of 90 students participating and will configure groups so that each 45 minute session contains a minimum of 30 students *

Yes

Prep/Foundation

Grade 1/Grade 2

Grade 3/Grade 4

Grade 5/Grade 6

Class and session Summary

Total number of classes requiring sessions (Large bookings may need a number of consecutive dates) *

Preferred date of booking

Please select 2 preferred date options that are clear in your school's calendar from the options below.
All dates are subject to availability.
July 2025: 4, 21, 24, 25, 28, 29
August 2025: 1, 7, 19, 20, 21, 22, 27, 28, 29
September 2025: 1, 2, 4, 5, 8, 10, 11, 15, 17, 18, 19

First Preference Date *

Second Preference Date

Comments - please indicate whether Standard or Alternate Modules are required and which Alternate Modules per Year Level. See below for each Module. *

So we can best equip our trainers please describe any behavioural/special needs requirements in this cohort * Please complete