Outreach visit request

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This is a form for you to request an outreach visit (either to the Offa's Dyke Centre or from the Offa's Dyke Association). We will get back to you shortly with estimated costs and risk assessments once you complete this form.
We DO collect email addresses and information in order to give a response and any information collected will be deleted should you
a) not proceed with a visit
b) on request after processing or
c) 3 months following the applying and after we have been in touch.

Email *

You and your group

This is about you/your organisation and how to contact you

Name *

Email address *

We will get back to you on this email address

Phone number(s) *

Please enter the phone number/s that we can contact you on.

Please describe the visit required

Location *

Please let us know if you would like to visit the Offa's Dyke Centre or Outreach comes to you

What would you like us to focus on? *

Please could you summarise the sort of thing you would like us to talk about. e.g. If this is linked to part of a curriculum please let us know and we can discuss what you would like us to cover or if this is about a period or specific subject.

Priority

Very high

Very low

Clear selection

Required date *

When would you like the visit to take place? (day, month, year)

YYYY

Alternative dates/times

More details

Send me a copy of my responses.

Submit

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