Book an Activity!

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We appreciate your time to compete this information. We are collecting the data at this point so we can monitor usage of Sycamore Adventure. By completing this form you are supporting the long term sustainability of the centre and ensuring we support play for all. If you want to know more about how the data is used please email play@sycamoreadventure.co.uk

* This information is required before save or make your booking.

 

Contact Details

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This booking is part of my package deal. - Find out more.

School / Centre  * 

Centre Type 
-- Select your centre type --- Children's Centre Nursery Childminder Primary Secondary Special School PRU FE & HE Voluntary/Community/Faith Sector Youth Service Local Authority

Township 
--- Select your township --- North Dudley Central Dudley Brierley Hill Stourbridge Halesowen Borough Wide Outside Dudley

Staff Contact  * 

Contact Telephone  * 

Contact Email  * 

Ensure you provide a correct email as all correspondence will go to this address

 

Billing/Invoicing Details

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If your booking is not part of a package deal please enter a invoice name and address or journal code.

Invoice Name 

Invoice Address

Journal Code 

 

Session Details

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1st Choice Visit Date 

2nd Choice Visit Date  

Select Activities 2a. Complete Freedom2d. Team building Games2g. Scavenger Hunts / Treasure Hunt
2b. Go-Karting2e. Your topicsCosts post April 2019
2c. Campfire2f. Junk Modelling

Activities Required

Number of people in different age groups  

	Male	Female
Age 0 - 3
Age 4 - 5
Age 6 - 8
Age 9 - 11
Age 12 - 13
Age 14 - 16
Age 17 - 19
Age 20 +
Adults (staff)

Number of people in each Ethnic Orgin  

Asian	Bangladeshi British Indian Pakistani Other
Dual Heritage	Asian and White Black African and White Black Caribbean and White Other Dual Background
Black	African British Caribbean Other Black Background
White	British Irish European Other White Background
Chinese	Chinese
Yemeni	Yemeni
Other	Other Ethnic Group
Gypsy, Roma, Traveller	Gypsy Roma Traveller Other

Disabled Children / Children with Special Educational Needs   
Please specify the groups that the Disabled Children / Children with Special Educational Needs are in.

Group A		Children and young people with Autistic Spectrum Disorder, who have severe learning disabilities or behaviour which is challenging, OR those children and young people whose challenging behaviour is associated with other impairments such as severe learning disabilities.
Group B		Children and young people with complex health needs, including children with life limiting conditions, and / or cognitive or sensory impairment, and / or have moving and handling needs, and / or require special equipment or adaptations.
Group C		Children and young people with other types of impairments which are disabling.

Other children and young people groups   

Looked After Children
Young Carers
Newly Arrived Children
Teenage Parents
Young Offenders
Not in Education, Employment or Training
Priority Neighbourhood

How are you intending on traveling to Sycamore Adventure?   
e.g. car, mini bus, coach.

Is there anything we should know so we can prepare for the visit?

We have visited Sycamore Adventure before.

I have read and agree to the Terms and Conditions.

 

Cost

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We estimate the cost of this session will be £0.00.

£0.00 (+ £0.00 VAT)

 

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