1. VISIT DETAILS (please complete a separate form for each visit):

Date of Visit: / /

/ Start Time:
Finish Time:

2. GROUP CONTACT DETAILS (BLOCK CAPS PLEASE)

Person Booking: / Position:
Group Leader: / Position:
School/Group:
Address:
POSTCODE:
Tel (inc code): / FAX:
EMAIL:
3. TYPE OF GROUP (Tick)
Under 5’s / KS1 (yr ……)
(Reception -Yr2; ages 5-7) / KS 2 (yr …….)
(Yr3 -Yr6; ages 7-11) / KS 3 (yr ……)
(Yr7 -Yr9; ages 11 –14)
KS 4 (yr ……)
(Yr10 -Yr11; ages 14 -16) / Post 16 / Higher education / Further education
Schools from abroad / EFL school / Other
Special educational needs or additional requirements? Yes/No

4. NAME OF SESSION

/ NO.S / COST EACH / TOTAL COST / ACTUAL NO.S MUSEUM USE / ACTUAL COST
MUSEUM USE

5. ACCOMPANYING ADULTS

The museum recommends a ratio of at least 1 accompanying adult to every 6 pupils. Please confirm numbers of accompanying adults below.

No of Adults:

6. ADDITIONAL CHARGES

/ NO.S / COST EACH / TOTAL COST / ACTUALNO.S
MUSEUM USE / ACTUAL COST
MUSEUM USE

Guided Tour of Town Hall (min 10 people)

/

£ 4.00

Lunch reservation (30 mins)

/

£ 10.00

Worksheets for students

/

£ 1.00

TOTAL COST OF VISIT TO MUSEUM OF OXFORD (£):

/

£

7. EXTERNAL VENUE:

/ NO.S / COST EACH / TOTAL COST / START TIME / END TIME
8. CONFIRMATION, PAYMENT & CANCELLATION CHARGE
All bookings are subject to availability. Please telephone the Museum to check availability of dates before submitting a booking form. A visit is not confirmed until the Museum of Oxford has received a booking form and has issued a confirmation letter.
Payment can be made in advance or on the day of the visit, by cheque/cash/credit card/ invoice (£5.00 administration charge for invoicing)
Payments to Museum of Oxford and Oxford Castle Unlocked should be made separately.
Cheques payable to: OxfordCity Council, marked FAO of Museum of Oxford.
Groups will be charged an administration fee (by each venue) if the visit is cancelled at less than 2 days notice.

9. MUSEUM CONTACT DETAILS

Learning & Access Department, Museum of Oxford, Town Hall, St Aldates, Oxford OX1 1DZ

Tel: 01865 252334 E-mail:

10.MUSEUM ADMINISTRATION FORMUSEUM USE PRE-VISIT
Booking taken by and date? / Name: / Date:
Booking in diary? /  (Tick to confirm) Date:
Booking form emailed to TH team? /  (Tick to confirm) Date:
INVOICE REQUIRED? /  (Tick to confirm)
INVOICE REQUESTED FROM TH TEAM? /  (Tick to confirm) Date:
Cancellation Policy explained? / By email  / By post  / By phone 
Group Guidelines issued? / By email  / By post  / On day 
Confirmation / Teacher Pack sent? / By email  / By post  / Date:
Leader allocated by Learning Team / Name:
11. BOOKING NOTES FORMUSEUM USE PRE-VISIT
12.MUSEUM ADMINISTRATION FORMUSEUM USE POST-VISIT
Group arrival details / On time  / Late  / Not at all 
If the group failed to show up or cancelled within 2 days please notify Museum Operations Officerand a cancellation charge will be issued.
Cancellation details / Reason: / Date: