Road safety

primary school booking

To book a RACV Street Scene visit, please fill in the form below.

Please note:

• Sessions are 45 minutes in length with a maximum of 30 students per session
• A minimum of two sessions and a maximum of six sessions delivered per school visit
• Each school is only able to book one day per year
• All sessions are free of charge

Mandatory fields are marked with a *
school details
School name: *
Address: *
Suburb/town: *
Postcode: *
State: *	VICACTNSWNTQLDSATASWAN/A
Principal's name: *
contact details
Title: *	Mr.Mrs.Ms.Miss.Dr.
First name: *
Last name: *
Email address: *
Phone (work): *	02030708N/A
Fax: *	02030708N/A
additional details
Preference(s) for date of visit:	1st * 2nd 3rd
Details of sessions to be held:
Session Time Year level No. students Class teacher e.g. 9.00am 5 30 max A. Smith 1 * 2 3 4 5 6
Recess (hh:mm): *	to
Lunchtime (hh:mm): *	to
Type of room provided:	Multi-purposeLibraryClassroomOther
Preferred time for teacher information session: *	RecessLunchtimeAfter school
How is traffic education incorporated into the curriculum?
Where does visit fit into the unit of study?	IntroductionFinding OutConclusions
What pre and post visit work has been planned? *
Is traffic safety education part of the school charter? *	YesNo
Did the school participate in the RACV Street Scene program last year? *	YesNo
Please enter any further questions or comments you have: