Preferred Date of Visit* Monday - Friday Only (Excluding School and Public Holidays)Arrival Time (approx)*Departure Time (approx)*Name of School*Name* First Last Address*Street Number, Street Name, Suburb, City, PostcodePhone*Mobile*Email* Number of Special Needs Children aged 0-17 yrs old ($11.50 each)Approximate NumberNumber of Special Needs Adults 18 yrs + ($18.50 each)Approximate NumberTotal number of One on One Carers (Free)One Free Carer per paying special needs child or adult (weekdays only)Number of Additional Adults $28.00Would you like a group train ride? $1.00 per paying person (One Loop around the track)*YesNoNotes or anything you would like to add to the booking?How did you hear about education visits to Butterfly Creek?*Terms & Conditions* I accept these Terms & Conditions 1. All school visits must be weekdays and outside school and public holidays. 2. Groups must pay as a group and consist of 15 or more paying visitors (i.e. one payment). Any late or unaccounted for adults will be charged the full price of $28.00 for entry and $3.00 for the train - ensure this is communicated to all parents. If they do pay separately they must mention they are with a group to receive the correct wristband. 3. All adults/teachers are responsible for the behavior of their students. Any damage to Butterfly Creek property will be charged to the school. 4. Groups are seen as a ‘Special Promotion’ – no membership pass /specials coupons/vouchers can be used on a visit. 5. Valuables should not be left in the bag storage room - Butterfly Creek is not responsible for lost or stolen items. 6. Use of the picnic tables by the playground are for people who have purchased from Papillon Bar & Café. We make an exception for educational groups – children are permitted to bring their own packed lunch. We encourage healthy eating at Butterfly Creek, fast food or takeaways are not permitted to be brought in during school trips. 7. On the day your group is welcomed and will be given guidance & rules etc. from our group co-ordinator, please see our website to download rules, risk management and trip planning information. This form is to give Butterfly Creek an idea of numbers visiting on a day so we can ensure we have sufficient staff here so our enclosures and encounters run smoothly. Arrangements can be postponed or cancelled by the school without incurring a penalty. By completing this form you agree to the conditions above set out by Butterfly Creek a nd must abide by them.