1. Name of school/group:

2. Address:

3. Telephone:

4. Fax:

5. E-mail:

6. Group Leader/Organiser:

7. Type of Course/Educational Objectives - How can we help to achieve these?:

7. Date of trip:

9. Size and Composition of Group:

Age Range:

Number of boys:

Number of girls:

Number of male staff:

Number of female staff:

10. Are there any specific issues within the group that our course director should be aware of such as learning or medical issues (eg. EBD, learning difficulties, emotional safety, ADHD)

11. Pupils with Special Dietry Needs - Vegetarian, vegans, dairy products, nut allergies etc:

12. Accommodation Required eg isolated, camping, bunkhouse etc:

13. Have you any special or specific accommodation requirements:

14. What are your travel arrangements to get to us eg coach, minibus:

15. Itinerary:

Arrival Date:

Approx. Arrival Time:

Departure Date:

Approx. Departure time:

17. Any other Comments