U5 - U6 Design in Action Trip 13 November 2019

Pupil First name* Pupil Surname* Pupil Form* Parent/Guardian Email address*

I give permission for my Son/Daughter to attend the DT event and for £26.40 to be added to the next school fees.*yesno

SIXTH FORM ONLY please select one of the following* U5 ( and sixth form if appropriate) Please select One of the following* Pupil mobile telephone number. ( This will be used ONLY if we are separated on the journey and will not be retained after the trip)*