| Name of Attendees |
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| School Name |
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| Telephone |
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| Fax |
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| Email |
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| What time of year do you have in mind for residential visit? |
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| Who is your current provider? |
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| When was your last residential visit? |
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Funding Source
eg LEA/School/Parents/Other |
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| How many children do you normally take on a residential visit? |
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| Name of person authorised to book residential visits for your school |
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| Why are you considering changing to Chateau Beaumont? |
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| Please indicate how important the following criteria are when choosing a provider: |
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