Creative Careers on the Road - School Booking Form

Creative Careers on the Road

Dumfries and Galloway Schools | Registering Interest Form
School Name
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Contact Number
Please enter a valid phone number.
Main Contact Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please select below for your FIRST preference date the sessions you would like as well as the period and times these would take place . All sessions run for a double period. Please also state the times.
Tuesday 11th NovemberWednesday 12th NovemberThursday 13th November
AM Session 1AM Session 2PM Session
Session Timings e.g Period 1 & 2: 8:45am-10.25am etc
Please detail the number of pupils and the year groups that would be attending each session.
For example - AM Session - 20 Pupils - S4
Please select below for your SECOND preference date the sessions you would like as well as the period and times these would take place . All sessions run for a double period. Please also state the times.
Tuesday 11th NovemberWednesday 12th NovemberThursday 13th November
AM Session 1AM Session 2PM Session
Session Timings e.g Period 1 & 2: 8:45am-10.25am etc
Please detail the number of pupils and the year groups that would be attending each session.
For example - AM Session - 20 Pupils - S4
Please provide any information regarding access or learning support needs you feel our facilitating artists should be aware of to ensure the workshop caters for all taking part.
Please confirm the space that the session will take place in e.g classroom, drama room etc
Please confirm access to smartboard/TV/Projector and wifi access and ability to link to a TEAMs meeting in the space provided
Should be Empty: