Isle of Wight Council

PLEASE NOTE THIS FORM MAY BE SUBMITTED ON-LINE FOR PRE-PROCESSING BUT YOU MAY BE REQUESTED TO SIGN ONE OR MORE COPIES AT A LATER DATE. IF THIS FORM REQUIRES ADDITIONAL DOCUMENTS OR PAYMENTS TO BE ATTACHED THEN YOU WILL ALSO BE REQUIRED TO PROVIDE THESE WHEN REQUESTED ALTERNATIVELY YOU MAY COMPLETE THE FORM ON-LINE AND CREATE A PRINTED COPY. THIS COPY MAY THEN BE SIGNED AND SUBMITTED WITH ANY ADDITIONAL DOCUMENTATION AS REQUIRED.

COASTAL VISITORS CENTRE BOOKING FORM

Title

	Forename
	Surname

	School/College name
	Street address
	Town Name
	County
	Postcode
	Contact. Number (include area code)
	email address

Requirements

	Your requirements, please include age, number of pupils and date of visit if you wish to make a provisional booking.
	Will you require a bus for your visit	Yes No

NB: Island schools only between the hours of 9.30 a.m. and 1.30 p.m at a cost of �30

Please return this form to: Cheryl TAYLOR Coastal Visitors Centre 2 Dudley Road Ventnor Isle of Wight PO38 1EJ External telephone: 01983 857220

THANK YOU! We aim to respond to your enquiry within three working days

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy . Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box

Date printed: 08/03/2013