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Booking Form
Thank you for your interest in our formal educational programme at Derby Museums. Please complete the booking form with information about your proposed visit
. We will aim to get back to you within 3 working days. If you have any questions, please contact us at
learn@derbymuseums.org
or call the museums on 01332641901
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Contact Details
Your name
Your answer
Your email address
Your answer
School / organisation name
Your answer
School address
Your answer
Year group
Choose
EYFS
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Higher Education
Further Education
If a college or university, what course?
Your answer
Number of children
Your answer
Number of staff / adults
Your answer
Preferred date of visit
MM
/
DD
/
YYYY
Second preference for date of visit
MM
/
DD
/
YYYY
Any further information that would be useful for us to know e.g. Access needs
Your answer
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