Name of the school or college: school address: school postcode: school phone number: Name of lead teacher for this visit: Name of person making this booking: The booking confirmation and supporting information will be sent to this person. Please ensure that you add us to your ‘safe senders’ list so you receive the emails and attachments. what is your email address? please confirm the email address Please specify the date you would like to visit (option 1) Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20182019202020212022202320242025 Please specify the date you would like to visit (option 2) Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20182019202020212022202320242025 Please specify the date you would like to visit (option 3) Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20182019202020212022202320242025 What time will you be arriving? - None -10:0010:1510:3010:4511:0011:1511:3011:4512:0012:1512:3012:4513:0013:1513:3013:4514:0014:1514:3014:4515:0015:1515:3015:4516:00 Groups are asked to arrive at the Group Entrance unless otherwise stated on your booking confirmation. If your preferred arrival time is not available we will allocate the next available space. If it is significantly different we will contact you with alternative options. what time will you be leaving? - None -11:00-11:1511:15-11:3011:30-11:4511:45-12:0012:00-12:1512:15-12:3012:30-12:4513:00-13:1513:15-13:3013:30-13:4513:45-14:0014:15-14:3014:30-14:4515:00-15:1515:15-15:3015:30-16:0016:00-16:3016:30-17:00 What age group will be visiting? - Select -Age 5-6 (Year 1/KS1)Age 6-7 (Year 2/KS1)Age 7-8 (Year 3/KS2)Age 8-9 (Year 4/KS2)Age 9-10 (Year 5/KS2)Age 10-11 (Year 6/KS2)Age 11-12 (Year 7 (KS3)Age 12-13 (Year 8/KS3)Age 13-14 (Year 9/KS3)Age 14-15 (Year 10/KS4)Age 15-16 (Year 11/KS4)Age 16-17 (Year 12)Age 17-18 (Year 13) what would you like to do with your belongings during your visit? - None -We would like to access to store coats and bagsWe'll keep our belongings with us Will you be parking a minibus/coach for the duration of your visit? Yes No From 1 January 2018 all vehicles including those bringing booked groups will be subject to the standard parking charge of £5 per car and £15 per coach/minibus. However we can reserve you one of our limited coach spaces on a first come first served basis. We will advise if spaces are full. how many children/students will be in the group? - None -123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990 How many teachers/adults will be accompanying the group? - None -123456789101112131415 More We ask for a minimum of 1 supervising adult for every 10 children for primary schools and 1 adult for every 15 students for secondary school level and above. Please tell us if you have any Special Needs students or other requirements, including wheelchair users. If the students will be in uniform please tell us its colour If the students will be dressing up on the day of the visit e.g as evacuees please tell us. This will help us to identify your group on the day Would you like to book a Learning session? Please read the session information within our Groups and Schools pages. The Holocaust: People and Objects (Yr 9 and above, 30 mins, £40 per 20 students) The Holocaust: Life in Germany 1919 – 1939 (Yr 9 and above, 45 mins, £70 per 16 min to 30 max students) Documentary Challenge: Gallery based. (Years 6 to 9, 60 mins, £100 per 16 min to 30 max students, Thurs only) Ministry of Memory: Gallery based. (Years 5 and 6, 50 mins, £100 per 16 min to 30 max students, Mon, Tues, Wed, Fri) We Were There: Ask Questions About Conflict KS2 (Year 5 and 6, 180 mins, £125 per 16 min to 30 max students. Available: Tues 24 April, Tues 22 May only) We Were There: Ask Questions About Conflict KS3 (Year 7, 8 & 9, 180 mins, £125 per 16 min to 30 max students. Available: Tues 19 July only) no session Would you like to reserve a space in the green room? The Green Room is available for eating packed lunches and space is reserved on a first come first served basis for a 30 minute slot. We are not able to offer sole occupancy and the room is open to everyone during school holidays and weekends. Yes No Would you like to order gift bags? Yes No If ‘yes’ which gift bag would you like? IWM North Souvenir Gift Bag £5 Evacuee Gift Bag £5 Would you like to see this exhibition as part of your visit? If so, we will allocate a time in your schedule Syria: A Conflict Explored: 16 February 2018 to 28 May 2018 A free special exhibition exploring the modern Syria conflict. We recommend a teacher pre-visit to this exhibition to assess its suitability for your students. Yes No Who should we send the invoice to? Please note the cancellation policy outlined on the Terms and Conditions page. All cancellations must be made by email to firstname.lastname@example.org with the word CANCELLATION in the subject line. If you have chosen to take part in any of our charged learning sessions we will invoice the organisation after the visit is complete. Please provide an email address for the school/college finance department. We cannot accept personal email addresses please confirm the email address Do you have a reference we should quote? We would like to keep in touch, updating you by email on IWM news and activities that may be of interest * Yes I want to receive updates No I do not want to receive updates Is there anything else you think we should know about your group or the visit Terms and Conditions * I have read the Terms and Conditions Risk Identification I have read and understood the Risk Identification Guidelines More If you would like to print a copy of your request for your records please do so before submitting the form. Please ensure you press ‘submit form’ afterwards to send your request to us and make a note of the date and time to help us trace any queries.