Manet Year 10 Challenge Day Booking Form

{"elements":[{"isDiscrete":false,"hidden":false,"name":"1500642503381_0.2501591263817491_0.20538730253785742","readOnly":false,"id":407504668,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"School Name","readOnly":false,"id":407504669,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Teacher First Name","readOnly":false,"id":407504670,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Teacher Surname","readOnly":false,"id":407504671,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please provide the name of the attending staff member","readOnly":false,"id":407504672,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please provide the contact email address of the attending staff member","readOnly":false,"id":407504673,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Please provide the contact phone number address of the attending staff member","readOnly":false,"id":407504674,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"How many pupils are you bringing to the Year 10 Challenge Day","readOnly":false,"id":407504675,"type":"numberElement"},{"isDiscrete":false,"hidden":false,"name":"Please provide the pupil names","readOnly":false,"id":407504676,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Specify courses","readOnly":false,"id":407504677,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"false","value":"0-false"},{"text":"false","value":"1-false"},{},{"text":"false","value":"3-false"},{"text":"false","value":"4-false"}],"name":"Pupil names ","readOnly":false,"id":407504678,"type":"attachment"},{"isDiscrete":false,"hidden":false,"name":"Do any of the people attending have any dietary requirments","readOnly":false,"id":407504679,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"Please confirm that you have the parental permission to take part in the challenge day","readOnly":false,"id":407504680,"type":"radioElement"}]}

Year 10 Challenge Day - Wednesday 5th November 10am - 3pm

School Name

Teacher First Name

Teacher Surname

Please provide the name of the attending staff member

Please provide the contact email address of the attending staff member

Please provide the contact phone number address of the attending staff member

How many pupils are you bringing to the Year 10 Challenge Day

Please provide the names of the pupils attending making sure that these names are on seperate lines or upload the names in the attachment field below

Please specify which 3 sessions your pupils will be getting involved in. Film and TV studies, French, Hispanic Studies, History of Art, Philosophy

Pupil names

Attach file

No files are currently attached.

Do any of the people attending have any dietary requirments

Yes

Privacy notice

The data collected in this form will be used to administer the Challenge Day and will not be used for any other purpose.

The University of Warwick is the data controller of any information you have entered on this form and as such is committed to protecting your data and rights in line with applicable data protection law (including the UK GDPR and the Data Protection Act 2018). Please review the privacy information (including privacy notices) provided by the University via the following link, for further information on your rights and how the University processes your personal data: Data Protection.

Spam prevention

Widening Participation

Manet Year 10 Challenge Day Booking Form

Failure to load reCAPTCHA