Individual Booking for Lab Experience Day 2026
{"elements":[{"isDiscrete":false,"hidden":false,"name":"Student name","readOnly":false,"id":281474327,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Email address:","readOnly":false,"id":373831326,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Home or mobile telephone number","readOnly":false,"id":281475161,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"Name of School","readOnly":false,"id":281474546,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Name of contact teacher","readOnly":false,"id":281474863,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Contact teacher email address","readOnly":false,"id":281474867,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":" Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"Minibus shuttle","readOnly":false,"id":375002630,"type":"radioElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Thursday 2nd July 2026","value":"0-thursday2ndjuly2026"},{"text":"Friday 3rd July 2026","value":"1-friday3rdjuly2026"},{"text":"Thursday 9th July 2026","value":"2-thursday9thjuly2026"},{"text":"Friday 10th July 2026","value":"3-friday10thjuly2026"}],"name":"Choices","readOnly":false,"id":644770962,"type":"radioElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Thursday 2nd July 2026","value":"0-thursday2ndjuly2026"},{"text":" Friday 3rd July 2026","value":"1-friday3rdjuly2026"},{"text":"Thursday 09th July 2026","value":"2-thursday09thjuly2026"},{"text":"Friday 10th July 2026","value":"3-friday10thjuly2026"}],"name":"Second Option","readOnly":false,"id":644771078,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"Emergency Contact Name","readOnly":false,"id":281475214,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Emergency contact telephone","readOnly":false,"id":281475218,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"Please provide details of any relevant medical conditions or allergies ","readOnly":false,"id":281475293,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Every opportunity will be taken to enable students with special or additional individual needs (including relating to physical and/or mental health) to participate fully in the lab experience days. If you feel that you or a student within your cohort if you are arranging a school visit may need extra support please indicate this in this box or email the organiser Marwan Albuhtori before registering as an individual risk assessment may need to be drawn up.This will give us the best opportunity to meet individual needs. Very occasionally due to the nature of the day and specific risk assessment and reasonable adjustments that may be required we are not able to offer the lab experience visit to some students.","readOnly":false,"id":619794027,"type":"textBoxElement"}]}