Science Week 12-16 March 2012 Booking Form

ABOUT YOU Name of Teacher: Role: Name of School: Contact Number: Contact email: Name of the teacher accompanying students: Mobile number:

YOUR EVENT PREFERENCES Please indicate below, which events you would like to attend during Science Week Please see attached document for further details and costs. Workshop No of Year Cost Students Group Johnny Ball – Monday 12 March Bio Plastic Workshop – Monday 12 March Agenda 1 – Monday – Friday (12-16) Free Tin Can Robots – Tuesday 13 March Space & Travel Writing Comp – Tuesday 13 March Free Sports Turf Research Institute - Tuesday 13 March Free Kemira Chemicals Wednesday - 14 March Free Science of Logistics Wednesday - 14 March Free Enterprise Transport Challenge Weds - 14 march Free Science of Logistics Thursday - 15 March Free Tin Can Robots – Thursday 15 March Bugs on Teeth – Thursday 15 March Free Robert McBride Tour – Thursday 15 March Free BLOODHOUND SSC – Friday 16 March Free Rockets & Rovers – Saturday 17 March Free Total

ABOUT YOUR STUDENTS Any Special Needs we need to be made aware of? Photo Consent received from students?

INVOICE DETAILS Purchase Order Number: Send to:

Please list address if different from school published address: Please list contact number if different from above: Please list email if different from above:

Please note all risk assessments, transport and student behaviour is the responsibility of the school. However a risk assessment of Future House is available on request, please contact us on 01274 385834. Risk assessments for partner agencies are available on request but will need to be tailored to the specific needs of your students; this remains the responsibility of the school.

Please return your completed booking form to: EBP Team, 2nd Floor, Future House, Bolling Road, Bradford BD4 7EB or email: [email protected].