Learning Form Test School/Group Name Postcode Local Authority Telephone Contact Name Job Title Email Address Mobile Number Group size Number of adults Age of Pupils/Participants Special Requirements Type of Visit half-day tour (max 30 people)half-day workshop (max 30 people)full-day tour and workshop (max 30 people) Travel Not SetMini Bus (max 25 seats)Coach or Large Bus (over 25 seats)Personal TransportPublic Transport Preferred date 1 (Wednesday or Thursday) Preferred date 2 (Wednesday or Thursday) Why do you want to visit Jupiter Artland? What are you planning to do in preparation for your visit? How are you planning to integrate the visit in your classroom or in your group sessions after you have visited Jupiter Artland? How will you build upon and expand on the Jupiter Artland experience long term after your visit? Have you visited Jupiter Artland before, either on your own, or with a school or group? How will you measure the impact of your visit to Jupiter Artland? Does your party have any access requirements? * Do you give permission for your class/group to be photographed during your visit? These images will be used to promote the work of the Jupiter Artland Learning Programme and Foundation in print and online. YesNo
