NRMA Online Road Safety Programs - Registration Form

 

How did you hear about the NRMA's online road safety programs? (Select all that apply)

Social media (Facebook, Instagram, TikTok, etc.)
Email communication
Flyer
Word-of-mouth (colleague, friend, etc.)
I have used the program in previous years
NRMA website
Search engine (Google, etc.)
Contact person's first name:
Contact person's last name:
Contact person's position/role at school/organisation:
Contact person's email address:
Organisation/School's name:
School's suburb/town:
In which geographic region is your school/organisation located?
School's phone number:

                    

     PRIMARY (Years K - 6)                                                                   SECONDARY (Years 7 - 12)

Select the online road safety program(s) you would like to register for:

NRMA Online Science & Road Safety Program - Primary (K-6)
NRMA Online Science & Road Safety Program - Secondary (7-8)
NRMA Online Young Driver Road Safety Program - Secondary (9-12)
Other
In which term(s) do you anticipate delivering the road safety program?
Term 1 2025
Term 2 2025
Term 3 2025
Term 4 2025
Approximately how many students will participate in this program?
Approximately how many teachers will facilitate this program?
Do you have any comments or questions about the program or how to deliver it?
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