Full Name of School: (required)

Address of School: (required)

Email Address of School: (required)

School Setting (required)
NurseryPrimarySecondarySpecial SchoolsFurther Education

Pupil Numbers (required)

Which CPD package are you interested in purchasing? (required)
---HEP CPD Package (£8 per pupil for members; £9 per pupil for non-members)SEND CPD Package (£3 per pupil)Early Years CPD Package (£4 per pupil)Early Years + SEND CPD Package (£6 per pupil)HEP + SEND CPD Package (£10 per pupil)HEP + Early Years CPD Package (£11 per pupil)HEP + Early Years + SEND CPD Package (£13.50 per pupil)

If Academy, please confirm the following:

Name of Trust:

Company Registration Number of Trust:

Trust Registered Office::

Contact details for the School, including email and any named authorised representative (this can be a person or a general admin or office address – notice of meetings of the Partnership will be sent to this contact address):

Signed for and on behalf of the School:

Name:

Date: