Cultural Diversity Booking Form 25-26 25-26 New Diversity workshops May 26 "*" indicates required fields Booking Name* First Last Booking Email* Your contact Email address:School Name* School Phone Number*Your School Telephone Number & area code:School Address* Street Address Address Line 2 City ZIP / Postal Code Funding for this Workshop*Education AuthoritySchool fundedUnknown (We will contact you about this before the workshop)To ensure details are correct for payments please tell us how this workshop is to be funded.How did you hear about HIP?*EmailSocial Media (Facebook/Instagram)RecommendationBooked beforeNI CollaborateSearch Engine / WebsiteTell us how your heard about Hip PsychologyCultural Diversity WorkshopsPlease select your dates and timesMay P4 & P5 Dates Thursday 21st May P4/P5 9.30-10.30am (2) Thursday 21st May P4/P5 1.15 -2.15pm (4) Friday 22nd May P4/P5 9.30-10.30am (5) P4 & P5 Classes* P4 P5 Composite P4/P5 Number of P4 classes*Please enter a number from 0 to 10.Number of P5 classes*Please enter a number from 0 to 10.No. of Composite P4/P5 Classes*Please enter a number from 0 to 10.May P6 & P7 dates Wednesday 20th May P6/P7 1.15 -2.15pm (1) Thursday 21st May P6/P7 11.00-12.00pm (3) Friday 22nd May P6/P7 11.00-12.00pm (6) P6 & P7 Classes* P6 P7 Composite P6/P7 Number of P6 classes*Number of P7 classes*No. of Composite P6/P7 Classes*Total Number of ClassesTotal Cost (Ex. VAT)EmailThis field is for validation purposes and should be left unchanged. Δ