Booking request form

Education Service Booking Request Form

Name of School or Group:

YOUR CONTACT DETAILS:

Name of Group Leader:

School or Group Address (including post code):

Telephone Number:

e-mail address:

Local Address (if you will be staying in this area):

DETAILS FOR VISIT 1:

Day and date:

Activity Location:

The Moors Centre

Sutton Bank Centre

Other

Please state 'other' location:

At what time would you like your activities to start?:

At what time would you like your activities to finish?:

Number of pupils:

Age of pupils:

Number of staff:

Activities requested:

DETAILS FOR VISIT 2 (if required):

Day and date:

Activity Location:

The Moors Centre

Sutton Bank Centre

Other

Please state 'other' location:

At what time would you like your activities to start?:

At what time would you like your activities to finish?:

Number of pupils:

Age of pupils:

Number of staff:

Activities requested:

ADDITIONAL INFORMATION:

Please indicate any themes or topics that you would like us to include or emphasise:

Please tell us if any members of your group have disabilities, injuries or special needs that we should be aware of. State here if you would like the use of a motorised wheelchair buggy or other facilities.:

COST OF VISIT(S):

Number of pupils at quarter day rate:

Number of pupils at half day rate:

Number of pupils at three quarter day rate:

Number of pupils at full day rate:

Cost per session (local schools and groups only):

Total cost:

YOUR RESPONSIBILITIES:

The following statements should be ticked by the group leader.:

I understand that I am responsible for the behaviour and discipline of my group members.

I understand and agree to abide by the booking terms and conditions.

Thank you. Please click the send button above to send this form to the Education Service.

Please help

» We want to make sure that we are providing a good service through our website, please let us know...

What's on. Lots to see and do in and around the Park

Booking request form

Please help

Useful Links