FREE Substance Misuse Workshop Booking Form
School or organisation Name
*
Workshop Date
*
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
Post Code
Contact Person
*
Contact Email address
*
example@example.com
Contact Telephone Number
*
Timings of each workshop
Year Group(s)
*
Number of Pupils
*
Year Group(s)
*
Number of Pupils
*
Year Group(s)
*
Number of Pupils
*
Number of teachers/organisers present
*
Is there a projector with sound facility available? If yes, please provide details.
Details of the space where the workshop will take place (classroom or Hall for example)
Do you have visitor parking available on site?
Which online platform do your staff and pupils use? (if applicable)
*
e.g. MS Teams
We are required by our funder, Young Harrow Foundation to provide photo evidence of the workshop taking place. Note that only back of heads will appear in the photo and no children's faces will be visible. We will also ask for a short feedback form to be completed by staff and students. Do you consent to this please?
*
Submit
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