Register for education program

Request a road safety session

Please fill in the request form. Our Amber Community team will review your request and contact you within the next 48 hours. Programs and presentations can be tailored to meet your specific needs and can be half-day or full-day. Please note that some fees may apply. If you have any questions, please email or call us at 1300 367 797. We are happy to help.

Contact details
Please provide your contact details for booking inquiry. We aim to meet all requests. However, due to the high volume of requests we receive, we require a minimum of 30 day's notice. This allows us time to make sure our program meets your requirements.
Name(Required)
First Last
Organisation/Group(Required)
Position
Contact number(Required)
Email(Required)
ABN
Have you engaged a speaker from us before
- Yes
- No
- Unsure
Which best describes your organisation/group?(Required)
- Community Group e.g. Lions, Probus, Rotary
- Corporate
- Emergency Services e.g. CFA, SES, Victoria Police
- Not-for-Profit
- School
- Sporting Club
Please describe your organisation/group and its primary purpose
Venue information
Address of venue (building/room) for session
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Preferred date of session(s)

Please give at least 30 days notice if possible.
Preferred time of session(s)
Preferred duration of session(s)
Please indicate the anticipated number of participants attending
Equipment
Do you have a data projector/TV for the speaker's use?
- Yes
- No
Do you have sound for the speaker's use?
- Yes
- No
Please indicate below topics you would like addressed in the session(s). This information is to plan the content and to brief our staff.
What's next
Our Amber Community team will review your request and contact you within the next 48 hours. We will contact you to discuss your program further including costs, logistics and suitability.
Name
This field is for validation purposes and should be left unchanged.

Request a road safety session

Contact details

Venue information

Equipment

What's next

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