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name Role name
Contact name
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Position / Role
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Head
Teacher
Admin
PTA
Other
School name
*
School postcode
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Email
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Phone
I'm interested in...
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After-School Club
STEM Workshop Day
One-off Demo
Something else
Age group / Year
*
KS1
Lower KS2
Upper KS2
Mixed
Approx. pupil numbers
<30
30-60
60-90
90+
Preferred date(s)
Message / special themes
How did you hear about us?
Word of Mouth
Social Media
Coventry Rocks
Google
Previous booking
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Email Address
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Contact
contact@stemgoeswild.co.uk
Call
07949793969
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