Name of school/group: * Address: * Telephone number: * Name of contact: * Email address of contact: * Proposed date of visit: * Year Year20222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Proposed visit location * Proposed duration of visit: * Number in group: * Age of children (if a school group): Brief outline of curriculum area or activities to be covered during visit: * Total estimated cost of coach/minibus travel: * £ Please note that the hiring of the coach/minibus and any permissions/risk assessments related to your visit are the responsibility of the school/group. Are you receiving Country Trust funding for this visit? * We take your privacy seriously and will only use the information you provide during the application and claims process for the administration of this particular project. We may need to share some details with other organisations as necessary, in order to award any bursary. You can find our privacy notice here.