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Chance2Be Course Booking Form

  • We require the submission of a completed form for each Chance2Be course booking prior to the date of the first session.
  • Please don't hesitate to contact us if you have any queries.
Privacy Information
  • We use the information given on this form in order to process your participation on the Chance2Be course.
  • We will only use your information to provide the service which you have requested.
  • We will never share your information with any third parties for marketing purposes and all information is held safely and securely.
  • For further information on how details are stored and used, how we maintain the security of your information and your rights to access information we hold about you, please contact us.
School/College Information
Name of school/college *
School/College Main Contact Details
School/College Contact Name
School/College Main Contact Email Address *
School/College Contact Number *
School/College Main Contact Alternative Number *
Please tell us the name(s) of any accompanying adults to the sessions.
Name of accompanying adult
Name of accompanying adult
Name of accompanying adult
Attendance
Please tell us of any dates (if any) during the course period that you cannot attend a session eg. school/college trip or inset day
Participants' details

Please complete details of each participant attending the course.

Please do not complete this form until all information has been gathered as the form can only be submitted once and details will not be saved.

Participant 1
Name of Participant
Year Group
Relevant Medical/Behavioural Information (including allergies, learning sensitivities etc.)
Participant 2
Name of Participant
Year Group
Relevant Medical/Behavioural Information (including allergies, learning sensitivities etc.)
Participant 3
Name of Participant
Year Group
Relevant Medical/Behavioural Information (including allergies, learning sensitivities etc.)
Participant 4
Name of Participant
Year Group
Relevant Medical/Behavioural Information (including allergies, learning sensitivities etc.)
Participant 5
Name of Participant
Year Group
Relevant Medical/Behavioural Information (including allergies, learning sensitivities etc.)
Participant 6
Name of Participant
Year Group
Relevant Medical/Behavioural Information (including allergies, learning sensitivities etc.)
Participant 7
Name of Participant
Year Group
Relevant Medical/Behavioural Information (including allergies, learning sensitivities etc.)
Participant 8
Name of Participant
Year Group
Relevant Medical/Behavioural Information (including allergies, learning sensitivities etc.)
Participant 9
Name of Participant
Year Group
Relevant Medical/Behavioural Information (including allergies, learning sensitivities etc.)
Declaration

Please read the Terms and Conditions of Chance2Be bookings and tick the box below to confirm acceptance of them.

I confirm that I have read and accepted the Terms and Conditions
Name of person completing the form:
Email address of person completing the form *

Thank you for completing this form.

Please click submit to send us the information.

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