Registration for trip to Black Country Living Museum

This trip is for PGT and PGR Early Career Researchers only. If you are an undergraduate and would like to come, then please contact Roberta.Bivins@warwick.ac.uk with your reasons why.

Please bring a packed lunch as there is no catering on site.

Full name

E-mail address

Emergency Contact Name

Emergency Contact Number

Privacy notice

This form will be used to manage participation in the field trip. Your attendance on the field trip will be recorded and associated with your name and emergency contact details, but no other personally identifiable data will be stored, and the data will not be used for any purpose other than as a record and will be deleted after the trip. Please see our Staff Privacy Notice or Student Privacy Notice for further information.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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History Centre for the History of Medicine, Science, and Technology

Registration for trip to Black Country Living Museum

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