Current Schools Booking Form Breck Foundation

Your Name*

First NameLast Name

School Name*

Email*

example@example.com

Contact Telephone Number*

Please enter a valid phone number.

School Address*

Address

Address Line 2 (Optional)

Town/ CityCounty

Post Code

Please select the date you would like your presentations to take place:*

Date

Please select an alternative date that would work for you if your first choice is unavailable:

Date

Please let us know what time you would like your presentations to start

Would you like your session(s) delivered online or face-to-face?*

OnlineFace-to-face

Who would you like to book for? You can select multiple options and then we can discuss with you a timetable that works for your school*

Can you please confirm the age of the students in the Year Groups you have chosen as it can differ from school to school.*

Primary Schools - Please note, we typically present primary school presentations to two-year groups at a time - this still counts as one session.

We are now offering Years 3 & 4 presentations to include Breck's Story. This would be the same presentation as Years 5 & 6 so please note this when selecting this option for age appropriation.

Secondary Schools - Secondary school sessions are grouped together, but we can seperate this for larger schools or if you are only looking to book for a specific year group (for instance if a certain year group has an issue with nude image sharing or links to county lines, we can make particular note of this).

If you would like to seperate your year groups please select 'Other' and note which year group you would like to book for.

Parent/Staff sessions - These take place online via Zoom (usually around 6pm) , but staff sessions can be given in person if requested. If you would like your staff session to be face to face please detail this in additional comments

How would you classify youur school?*

Breck Foundation Schools Booking Form

Schools Booking Form

Schools Booking Form

Additional Information

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