Learning Visit Booking Form : The Birkenhead Priory

When & Who

Date of visit

Arrival Time (We open at 10am)

: HH

MM

Departure Time

: HH

MM

Year group

Number of pupils

Number of adults

School Details

School name

School address

School phone number

Contact teacher's name

First Last

Contact teacher's Email

Mode of transport

On the day

Which teaching session(s) would you like? (Please put session titles)

How does it link to your topic work?

What is the brief plan for your self-guided time?

Health & Safety

Please list any special medical, behavioural or physical conditions we need to be aware of (including nut or plant allergies)

Are any children or adults in any class unable to climb a spiral staircase?

Yes
No

Who is your named first aider for the duration of your visit?

*

Please tick to say that you have read and understood the Risk Assessment and have briefed your pupils
Please tick to say that you have read and understood the Hazard Information Sheet for Education Groups and have briefed your pupils

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If at any time you'd like a copy of the information that we hold about you, or wish to update your information, change your contact details or ask us not to contact you in the future, please email us at info@thebirkenheadpriory.org. Please read our Privacy Policy for more information.

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