Please note, once you begin your application you cannot save your data. Please use our application guide prior to starting the application.

2023 Cheviot Ride Application

Tuesday 5th to Friday 8th December 2023

If you require any support with the application process please call us during school hours on 5368-6768 or email shane.lefevre@education.vic.gov.au

Please note:-
BLACKWOOD DOES NOT INVOICE VISITING STAFF
ALL COSTS LISTED ARE FOR STUDENTS ONLY
COSTS ARE CALCULATED TO COVER THE COSTS OF ALL PARTICIPANTS
Cost = $220 per student

Costs include:-

Accommodation
Evening Meals ONLY
T-shirt
Medal
Admin/Event Fees

All inputs marked with (*) are required!

My Principal has approved this Program Request(*)

Yes This option must be checked to proceed!

Your Details

Select your school(*)

Please tell us the name of your school

Other (*)

Please enter the Name of your School

What is your name?(*)

Please enter your full name.

What is your work email?(*)

Invalid email address.

Who is your Principal?(*)

Please enter the name of your Principal.

What is the Principal's email?(*)

Invalid email address.

What is your contact Number?(*)

Please enter your contact number. E.g. 0411231234 | 041-123-1234

Your Group

Please let us know the number of students & staff participating in the Cheviot Ride from your School:-

How many Students are you planning to bring?(*)

Please tell us how many students you are planning to bring.

How many Staff are you planning to bring?(*)

Please tell us how many Staff you are planning to bring.

Costs

Costs are per students ONLY! No Charge for staff:-

$220 per Student

Accommodation
Evening Meals ONLY
T-shirt
Medal
Admin/Event Fees.

Additional Information

Do you have any additional information that is relevant to your booking request?

Invalid Input

Preview of your request:

My Principal has approved this Program Request:

.

Your Details

School:

.

Name:

.

Email:

.

Your Principal:

.

Your Principal's Email:

.

Your Contact Number:

.

Your Group

Number of Students:

.

Number of Staff:

.

Additional information that is relevant to your booking request:
.

The application you are about to submit is a "request only". You will receive a notification of the outcome of your application within 4 weeks.

Thank you.