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

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. *

Yes

Prep/Foundation

Grade 1/Grade 2

Grade 3/Grade 4

Grade 5/Grade 6

Class and session Summary

Preferred date of booking

Please select your 2 preferred date options that are clear in your school's calendar from the options below.
December 2023: 8, 12, 14, 15, 18, 19, 20
All dates are subject to availability.
February 2024: 1, 2, 6, 7, 8, 9, 12, 13, 14, 15, 16, 20, 21, 22, 23, 27, 28, 29
March 2024: 1, 4, 5, 7, 8, 13, 15, 19, 20, 21, 22, 26, 27, 28

First Preference Date *

Second Preference Date

Comments