Booking Type	Please select... School - Outreach programmes School - Programmes at BW *
	Click here to make a School VIP booking
Organising Teacher	*
School Name	*	Tel No.	*
Address Line 1	*	Fax No.
Address Line 2		Email	*
Town/City		School Type	Please select... FE College HE College Other LA Private Worcs LA *
County		Key Stage	Please select... A Level Degree Foundation Stage Key Stage 1 Key Stage 2 Key Stage 3 Key Stage 4 *
Postcode	*	Programme	Please select... Arty Circles Gingerbread Man Homes and Sculptures Katy the Caterpillar Tailor-made programme Teddy Bear’s Picnic Three Billy Goats Gruff Three Little Pigs Tree Trails and Tree Tales Where the Wild Things Are *

Details of Group 1

Name of class teacher	*
Class name	*	Age Range	*
No. of pupils	* *	No. of other Adult helpers	*

Details of Group 2

Name of class teacher
Class name		Age Range
No. of pupils	*	No. of other Adult helpers

Details of Group 3

Name of class teacher
Class name		Age Range
No. of pupils	*	No. of other Adult helpers

Back in School

Of what ongoing topic or theme does this visit form a part? (If a QCA topic please state which)

*

Topic starts	*
Topic ends	*
Cross curricular/Main subject(s) focus	*

Date of Intended Visit

Booking Period (Possible dates) *	*	Term	Please select... Autumn Spring Summer *
* Please give as broad a range of dates as possible to avoid disappointment

Payment

Payment Method	Please select... Cost code Invoice me I will bring cheque on the day *
Cost code