Greater London Make a Difference Challenge Booking Form

School Details

School Name

School Address

School Postcode

School Telephone Number

Invoice Details

Name of school bursar/administrator

Purchase order number (if required)

Email address of school bursar/administrator

Participating Teachers' Details

Please provide details of all teachers attending the training session on Tuesday 7th January 2020 (maximum of 3 teachers/teaching assistants per school)

NB: At least one class teacher who will be delivering the project must attend. Additional teachers and teaching assistants may also attend.

First Name of the lead teacher attending the training (1)

Last Name of the lead teacher attending the training (1)

Email Address of the lead teacher attending the training (1)

First Name of additional teacher/teaching assistant attending the training (2)

Last Name of additional teacher/teaching assistant attending the training (2)

Email Address of additional teacher/teaching assistant attending the training (2)

First Name of additional teacher/teaching assistant attending the training (3)

Last Name of additional teacher/teaching assistant attending the training (3)

Email Address of additional teacher/teaching assistant attending the training (3)

Please check this box to confirm your head teacher has authorised payment of £195 for participation in this project, and attendance of the teachers listed above at the training session.

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