Women in Work -Booking Form - Whittlesea Community Connections

Women in Work Booking Details

Fill the form below indicating the booking you need. We will get back to you within two working days in response to your booking request. For urgent enquiries, please email wiw@whittleseacc.org.au

Name*
First Last
Organisation
Organisation name
Contact Number
Email*
Booking Date
DD slash MM slash YYYY
Start Time

: Hours

Minutes

AM/PM
End Time

: Hours

Minutes

AM/PM
Location of Service
Street Address City ZIP / Postal Code
How many children do you expect to cater to?
Age range of children
Do any of the children have special needs?
- Yes
- No
Ratio of Workers to Children: 1 worker to 4 children (If there are 2 or more babies, under 12 months, in the 4 we automatically book 2 workers.)
How many workers do you require?
Do you require any toys or activities to be provided?
- Yes
- No
Comments