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P2457 Booking Form_Layout 1 03/07/2013 16:25 Page 1

NATIONAL COAL MINING MUSEUM

for England

Booking Form 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. On receiving your booking form we will write to you to confirm your visit. 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)

Arrival time

Departure time

How many people are in your party?

Adults

Children

School name and address Postcode Telephone number

Fax number

E-mail address Contact name

Role (e.g. Class teacher)

For local schools only (radius 5 miles) please state here if you wish to use our' 'parent drop off' or 'minibus run' facility:

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. Please tick the boxes to show your preferences: Can we add you to our mailing list? Can we e-mail you? Can we pass your details on to 3rd parties?

How did you hear about us?

Organisation type Nursery

Educational level

E-newsletter

Primary school

KS1

Museum Literature

Middle school

KS2

Museum website

Secondary school

KS3

Newspaper/magazine advert

Special school

KS4

Recommendation

College/University

16-18

Repeat visit

Other (please specify)

Higher Education

Other (please specify)

www.ncm.org.uk


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Additional Information Individuals with additional needs Underground Tours Do any member of your group have any additional needs that will require extra help? YES

NO

If yes, please give details:

If you do not book any workshops, you will be allocated your underground tour times on arrival at the Museum. Do you wish to go underground? YES

NO

If yes, please select ONE option only Meet a Miner (available all week) Hands-on History (Mon, Tues, Thurs) Subterranean Science (Wed, Fri) Please see the Education Programme for more details or speak to one of the Education team.

Workshops and trails Do any members of your group use a wheelchair? (include adults and students) YES

NO

If yes, number of visitors in wheelchairs

And number of helpers

Learning focus To help us tailor your visit, please indicate:

Please read our Education Programme or visit 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 and for some workshops we are restricted by capacity. The Museum charges for workshops led by Museum staff. Indicate your first and second choice below:

Date received Processed Booking reference number

www.ncm.org.uk

NO

Resources Visit www.ncm.org.uk/learning for a full list of resources to buy or borrow to help with planning pre- and post-visit activities. Please send me the following: KS1 Gallery worksheet KS2 Gallery worksheet KS3 Gallery worksheet 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

Preliminary visits We recommend that all group leaders make a preliminary visit. If you would like to discuss tailoring your visit to the needs of your pupils, please contact the education team: education@ncm.org.uk

Second choice of workshop/trail

For office use only

YES

First choice of workshop/trail

The learning focus of your visit:

What stage you are at in your topic:

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 ÂŁ40 for a full day.

Cancellation of bookings We accept that some cancellations of school bookings take place. Please give us as much notice as possible if you do need to cancel. If a booked workshop is cancelled with less than 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.


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