Speaker service booking form

* Required field
Requirements
Preferred date/s and times * REQUIRED
Subject content of talk
Subject content of talk
Subject if 'other'
Student year group
Curriculum subject * REQUIRED
Number of students * REQUIRED
Ability of students * REQUIRED
Duration of session * REQUIRED
Start time
Finish time
Will PowerPoint facilities be available?
- Yes
- No
Will there be facilities to play a film clip?
- Yes
- No
Will cooking facilities be available?
- Yes
- No
Your details
Name * REQUIRED
Prefix First Last
Department * REQUIRED
Position
Name of school * REQUIRED
Address * REQUIRED
Address Line 1 Address Line 2 City Postcode
School phone * REQUIRED
Best time to call
Home or mobile phone
Email address * REQUIRED
What prompted you to make this booking? * REQUIRED
Please specify if 'other':
Any additional information you would like to give us?
I consent to Animal Aid sending me information on school talks and education resources by email * REQUIRED
See our privacy policy at animalaid.org.uk/privacy
- Yes
- No
I understand that I can withdraw this consent at any time by emailing education@animalaid.co.uk or by writing to Mark White at the Animal Aid Education Department, The Old Chapel, Bradford Street, Tonbridge, Kent, TN9 1AW.