Please complete this form if you would like to receive a workshop. We will contact you to confirm the booking date and any relevant information about the workshop. This is not confirmation of a booking.Please complete a separate registration form for each workshop you would like to receive.

School Name *

School Contact Name *

First Name

Last Name

Position in School *

School Contact Email *

School Contact Number *

School Postcode *

Email address for invoicing/finance

Workshops *

Please note that not all workshops are available in all areas,

Preferred month for workshop delivery - Option 1 *

Preferred month for workshop delivery - Option 2 *

Pupil year group - participating in workshop *

Tick all that apply.

Reception

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year 7

Year 8

Year 9

Year 10

Year 11

Year 12

Year 13

Number of pupils participating in workshop *

I agree to STEMworks holding the above details for the purpose of this workshop. *

Yes

I am happy for STEMworks to contact me regarding other projects, workshops, events and opportunities. *

Yes

I would like to subscribe to STEMworks quarterly newsletter *

Yes

Workshop days/dates to avoid or any further comments

Where did you hear about us?

If 'Other'

Thank you for you workshop enquiry and we will be in contact.

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Mill Ln, Brockworth, Gloucester, GL3 4QF
01452 865028

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