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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: