School Trips & Group Visits Booking Form

School Trips & Group Visits Booking Form
Name of your organisation*
Your name*

First NameLast Name
Your role in the organisation *
Eg teacher / manager
Your organisation's address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your organisation's website
E-mail*
You must fill in a valid email address for us to contact you
Confirm E-mail*
Landline phone number*

Area CodePhone Number
Mobile phone number*
What kind of trip do you want to arrange?*

Visit to Heruka Centre, Golders Green (£35 per hour)Visit to your group / workplace (limited availability) (£50 per hour, plus transport costs)
Is your group:*

pre-school / nurseryprimary schoolsecondary schoolcollege / universitychildren's clubclub / society (adults)workplaceOther
how many children (max 50)?
age group / level?
how many people?
how many students?
how many staff?
how many teachers / carers?
Have you organised a visit with Heruka KMC before?*

YesNo
if yes, please give details*
when you last visited, and which location
Have the group studied Buddhism / meditation before? If so, please give details*
There is no requirement to have studied Buddhism or tried meditation beforehand
Are there any specific topics you would like to cover?
We have a standard structure for visits but if you would like to cover specific topics we are happy to include these.
Preferred dates for your visit

Heruka KMC also hold regular drop-in meditation classes. While we cannot guarantee your preferred date / time is available, we will do our best to fit with your organisation's schedule.
Preferred date & time: option 1*
Preferred date & time: option 2*
Email address to send invoice*
example@example.com
Cancellation Policy

Invoices will be raised after the visit.

Cancellations within 4-7 days of the visit will be charged for one hour.
Cancellations within 3 days of the visit will be charged in full.
Cancellations with more than 7 days notice will not be charged.
Any other notes / questions?
How did you hear about Heruka KMC?*
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School Trips & Group Visits Booking Form

Preferred dates for your visit