Canine Chronicles Package Booking Form
Organisation Name
*
Campus (if applicable)
First Name
*
Last Name
*
Email
*
Phone
*
Secondary Contact Name
*
Secondary Contact Email
*
Calendar Year
*
2025
2026
2027
2028
Term
*
Term 1
Term 2
Term 3
Term 4
What are your school recess and lunch times?
*
You have selected Package
Program choice 1
*
Communication on the Inside and Out
Friendship and Responsibility
Embrace Change
Flexible Thinking
Grief and Loss
Transition from Primary to Secondary
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Program Choice 2
*
Communication on the Inside and Out
Friendship and Responsibility
Embrace Change
Grief and Loss
Flexible Thinking
Transition from Primary to Secondary
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Day Preference
*
Preference 1
Preference 2
Preference 3
What year level will be participating in each program?
*
Who will be responsible for funding the program?
*
SFYS
School Mental Health Menu
Other Funding
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Is there parking available? If not where will the tutor park? (Please keep in mind our tutors carry equipment and have a dog)
*
Is there anything else we need to know?
*
Have you booked a chat with Sarah or Louise to discuss the package
*
Yes
No
Previous Client - Don't need to
How did you hear about us?
*
Current Client
Facebook
Website
Newsletter
Word of Mouth
School Mental Health Menu
SFYS
Past Client
Other
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Submit and Book Canine Chronicles Package