BOOKING FORM

To request a MyRoad session for your school, please complete the form below. ¬†Bookings are not final until confirmed by the MyRoad team. Use ‘tab’ to move between fields in this form.

MyRoad School Booking Request
Paste home page URL
Street
Suburb
State
First name
Last name
Best days/time to contact
Email (a copy of this form will be sent to this address)
Area Code
Number (and extension, if applicable)
Mobile
Note: bookings are open only for female students aged 16 to 19 or turning 16 that year.
Select a group size of 3 or 4 students to each mentor.
Session duration is strictly 2 hours
(ie AEST/ADST/ACST/AWST)
Provide any additional information, such as class demographics, which may be useful to our mentors, or ask a question.
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