ncmme-booking-form

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Booking Form

Indoors, Outdoors, Explore!

Please return this booking form to the Bookings Officer within two weeks of receipt. Failure to do so may result in the booking being reallocated.

Before filling in this booking form, please ensure you have provisionally booked your dates with the Bookings Officer. Please fill in this booking form as soon as possible after receiving your education pack, and return within two weeks.Your visit is not confirmed until we receive this booking form and have replied to you. The underground tours and workshops can become fully booked very quickly. Please indicate a first and second choice option for dates and workshops.

Date of visit (1st choice)

(2nd choice)

Name of teacher/organiser School name and address Postcode Telephone number

Fax number

E-mail address Number of students

Number of adults

Year group of students

Age range of students

Time of arrival

Departure

The details provided above will be used by the National Coal Mining Museum for England to keep you informed by mail or email about the products and services we provide. If you do not wish to be contacted, simply tick this box

Cancellation of bookings We accept that some cancellations of school bookings are inevitable. We ask that you give us as much notice as possible if you do need to cancel. If a booked workshop is cancelled with less that five working days’ notice, the full amount will be payable. This is to cover staff costs only, and does not apply to self-facilitated activities.

www.ncm.org.uk


Indoors, Outdoors, Explore! Organisation type and educational level (please tick) Nursery

KS1

Primary school

KS2

Middle school

KS3

Secondary school

KS4

Special school

KS5/GNVQ

Post-16 or college

Other (please specify)

Other (please specify)

Would you like to book a workshop, trail or demonstration? The Museum offers a range of self-led activities and facilitated workshops. Please read our Education Programme or refer to the Museum website: www.ncm.org.uk/learning for information about the different activities we offer and when they are available. Please note that some activities are only available on certain days. The Museum charges for workshops led by Museum staff. Indicate your first and second choice below:

Individuals with additional needs Do any members of your group have any additional needs that will require extra help? Yes No If yes, please give details:

First choice

Second choice

Please note that there is a maximum of 68 pupils and 8 adults for a Hope Pit booking. For health and safety reasons, it is not possible to increase the group size.

Do any members of your group use a wheelchair? (include both adults and students) Yes

No

If yes, number of visitors in wheelchairs and number of helpers If you do not book any workshops on site, you will be allocated your underground tour times on arrival at the Museum. Do you wish to go underground? Yes No If Yes, which tour would you like? Meet a Miner (available all week) Hand-On History (Mon, Tue, Thu – with history workshops only) Subterranean Science (Wed, Fri with science workshops only) Please see the Education Programme for more details Please send me the following:

Would you like to book the Education Activities Room? The Education Activities Room is available to book if you would like to run your own activities or have a base for the day. The room is fully equipped, with an interactive whiteboard. The charge for this is £40 for a full day. Yes

How did you hear about us? Recommendation What’s on guide Website Repeat visit Other Date of application Signed Please send this form to: The Bookings Officer, National Coal Mining Museum for England, Caphouse Colliery, New Rd, Overton, Wakefield, West Yorkshire, WF4 4RH Telephone: 01924 848806 Fax: 01924 844567 Email: booking.officer@ncm.org.uk

KS1 gallery worksheet KS2 gallery worksheet KS3 gallery worksheet Goody bags information to pre-buy souvenirs from the Museum shop.

www.ncm.org.uk

No

For office use only Date received Processed


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