Booking form

Please complete this form for each student who will be attending the Summer School.

There are a limited amount of places per subject per school, as indicated next to the subjects in the form below. The students are expected to attend all three days (3, 4, 5 July 2013) of the Summer School. To apply students must be in the final year of their A levels or BTECs in September 2013.

If you need to change your booking, please contact Bev Reardon on 01332 593249 or b.reardon@derby.ac.uk.  

School details
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Student's details
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Subject
The numbers inside the brackets below indicate the students number per school/college. 
   










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Any dietary/access requirements?
Use of personal data

The details you give us on this form will only be used by us to send you and the student information about the University of Derby.

 
Use of personal data

Our policy is to only use the data you supply to us for use in regard to the work of the University of Derby. We do not pass on your data to any other third party under any circumstances.

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