Energize Champion Booking Form. Please note that this form will be used to make an initial enquiry. It will be followed up by individual contact to ensure practical arrangements and activities are tailored to the individual organisation.

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* 1. Name of School, Club or Organisation?

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* 2. Title and Full Name of Contact

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* 3. Job Title?

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* 4. Address where the visit will take place.

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* 5. Preferred Champion?

Danielle Brown

Mel Clarke

Kelly Edwards

Kelda Wood

Bethan Partridge

Darren Edwards

No Preference

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* 6. Please enter your preferred contact details below:

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* 7. Preferred Date of Booking. Half Day (3.5 hrs). Please indicate AM or PM. Please note Alison is unavailable Mon - Weds. Bookings subject to availability.

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* 8. Age Group of Recipients?

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* 9. Please indicate specific areas of interest. Note it is possible to mix and match activities. Once the visit is registered we will contact you to confirm more detailed arrangements.

Demonstration. (For Primary schools: Archery Demonstration equipment is available designed for KS2
use. This activity is only available to Secondary schools who can provide their own equipment).

Lessons for Life. (Background stories are presented with an emphasis on the important messages that have helped achieve success. These might include overcoming setbacks, being organised, making a commitment, focusing on a dream).

Questions and Answers. (It is suggested that some preparatory research work is undertaken by students prior to the session).

Cross Curricular Links. (Supporting other subjects within the curriculum).

Other (please specify)

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* 10. Method of payment.

Cheque Made Payable to Energize STW

Online Bank Transfer: Sort Code 40-52-40. Account Number 00022114

*Please be aware that payment will not be taken until a firm booking has been confirmed