New Futures for Birmingham`s Historic Buildings

School Name (required)

School Contact Phone Number (required)

School Email Address (required)

School Postal Address (required)

Post Code (required)

Name of the teacher organising the visit (required)

Date of visit (required)

Time of visit (required)
(2 hour block  - i.e. 10am-12pm, or 1pm-3pm)

Number of Children in the group(s) (required)
(Max. 35 in a class workshop - larger groups will not have the hands-on experiences)
Group 1:
Group 2:

Age range of Children in the group(s) (required)
(Max. 35 in a class workshop - larger groups will not have the hands-on experiences)
Group 1:
Group 2:

Any special needs we need to be aware of ?
(Please give details where appropriate)
Group 1:

Group 2:

Workshop / presentations you require (please select per group)
(please note that workshops can be tailored to the individual needs of the school or group)
Group 1:
Group 2:

Any other information?