For local schools only (radius 5 miles) please state here if you wish to use our' 'parent drop off' or 'minibus run' facility:

The details provided above will be used by the National Coal Mining Museum for England to keep you informed by mail or email

about the products and services we provide. Please tick the boxes to show your preferences:

Can we add you to our mailing list? Can we e-mail you? Can we pass your details on to 3rd parties?

Date of visit (1st choice) (2nd choice)

Arrival time Departure time

How many people are in your party? Adults Children

School name and address

Postcode

Telephone number Fax number

E-mail address

Contact name Role (e.g. Class teacher)

Please return this booking form to the Bookings Officer within two weeks of receipt. Failure todo so may result in the booking being reallocated.

Before filling in this booking form, please ensure you have provisionally booked your dates with the Bookings Officer. On receiving your booking form we will write to you to confirm your visit. The underground tours and workshops canbecome fully booked very quickly. Please indicate a first and second choice option for dates and workshops.

NATIONAL COAL MINING MUSEUM

for England

Booking Form

www.ncm.org.uk

Organisation type

Nursery

Primary school

Middle school

Secondary school

Special school

College/University

Other (please specify)

Educational level

KS1

KS2

KS3

KS4

16-18

Higher Education

How did you hear about us?

E-newsletter

Museum Literature

Museum website

Newspaper/magazine advert

Recommendation

Repeat visit

Other (please specify)

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Individuals with additional needsDo any member of your group have any

additional needs that will require extra

help?

YES NO

If yes, please give details:

Do any members of your group use a

wheelchair? (include adults and students)

YES NO

If yes, number of visitors in wheelchairs

And number of helpers

Learning focusTo help us tailor your visit, please indicate:

The learning focus of your visit:

What stage you are at in your topic:

Underground ToursIf you do not book any workshops, you

will be allocated your underground tour

times on arrival at the Museum.

Do you wish to go underground?

YES NO

If yes, please select ONE option only

Meet a Miner (available all week)

Hands-on History (Mon, Tues, Thurs)

Subterranean Science (Wed, Fri)

Please see the Education Programme for

more details or speak to one of the

Education team.

Workshops and trailsPlease read our Education Programme or

visit www.ncm.org.uk/learning for

information about the different activities

we offer and when they are available.

Please note that some activities are only

available on certain days and for some

workshops we are restricted by capacity.

The Museum charges for workshops led

by Museum staff. Indicate your first and

second choice below:

First choice of workshop/trail

Second choice of workshop/trail

Would you like to book the

Education Activities Room?

The Education Activities Room is available

to book if you would like to run your own

activities or have a base for the day.

The room is fully equipped with an

interactive whiteboard. The charge for

this is £40 for a full day.

YES NO

Resources

Visit www.ncm.org.uk/learning for a full

list of resources to buy or borrow to help

with planning pre- and post-visit activities.

Please send me the following:

KS1 Gallery worksheet

KS2 Gallery worksheet

KS3 Gallery worksheet

Please send this form to: The Bookings Officer,

National Coal Mining

Museum for England,

Caphouse Colliery, New Rd,

Overton, Wakefield,

West Yorkshire, WF4 4RH

Telephone: 01924 848806

Fax: 01924 844567

Email: booking.officer@ncm.org.uk

Preliminary visitsWe recommend that all group leaders

make a preliminary visit. If you would like

to discuss tailoring your visit to the needs

of your pupils, please contact the

education team: education@ncm.org.uk

Cancellation of bookingsWe accept that some cancellations of

school bookings take place. Please give us

as much notice as possible if you do need

to cancel. If a booked workshop is

cancelled with less than five working days’

notice, the full amount will be payable.

This is to cover staff costs only, and does

not apply to self-facilitated activities.

For office use only

Date received

Processed

Booking reference number

Additional Information

www.ncm.org.uk

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