Reminiscence Session Booking Form

Reminiscence Session Booking Form

Please complete the form below - a confirmation email will then be sent to you confirming the date and timing of the booking.
Contact Name*

First NameLast Name
Name of Organisation/Group*
Contact Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Preferred Date of Visit*

DayMonthYear
Date
Second Preference - Date of Visit

DayMonthYear
Date
Third Preference - Date of Visit

DayMonthYear
Date
Preferred Time of Session*

Hour Minutes

AM/PM Option
Please specify how many will be attending the session. (Please note, the maximum per session is 10, plus carers.)*
Number of Carers
Please specify any special requirements or additional information below.
Please note that payment will be taken on arrival. The cost of the 45 minute session is £30, which is payable in addiiton to the admission charges for the Museum.
Please tick below if you would prefer to be invoiced following your session.

Invoice required
Should be Empty: