Outreach visit request form

Please use this form to request that we visit your school. We'll process your request and send you an email confirming all the details.

If you prefer to make you booking over the phone you can call us on 020 7942 4777.

Date of application: Alternative date: Date of Outreach visit: Visit organiser: Name of school / community Address: Telephone number: Fax number: Email address: Itinerary Are you a SEN school? Activity Start Time A booking cannot be regarded as confirmed until you have received a confirmation letter from the Museum Mailing list Would you like to join our educational mailing list to recieve information each term about our educational activities? School or Community Group Alternative date (2) Group No. Ages What we will need Does your venue have the following? 1. A ground floor, step free performance area (or the use of a lift if the room is on an upper level); 2. Access to at least 2 power sockets 3. A sink with running water - ideally large enough to fit a bucket under - within easy access of performance area; 4. Onsite parking and /or an area for overnight storage of props if they are couriered to the venue? Can you provide us with the following items? 1. A projector screen 2. Two trestle tables The Science Museum is registered under the Data Protection Act 1998 and will process your details in accordance with this act. Tell us how you found out about our educational facilities. Which activities would you like to include? Have you read the booking terms? Please confirm email address

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Outreach visit request form

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