Booking/Order Form

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Booking/Order Form

The following form can be used to book a virtual session and/or order hard copies of resources. If you require digital resources, these can be viewed and downloaded for free via our new online portal, Swivle.
(Please contact me for further details at walexander@kooth.com)

Which of the following are you interested in? (tick as many as apply) *

Hard copies of resources (Kooth cards and posters)

Live Virtual Assembly (Schools only)

Virtual Kooth Training Session (Services & School staff)

Kooth Information Session for 16 - 18 year-olds

Kooth Information Session for 19 -25 year-olds

Kooth Assembly Virtual Pre-record (Schools only)

Kooth Parents and Carers Information Session (parents evenings/ community family events)

Face to face options inc. Assemblies/Training (to be discussed further)

Other:

Required

If you wish to book a Virtual or Face to face session which month do you require dates for? *

April

May

June

Required

If you would like to receive Kooth cards/posters, please state your request below.

Name *

School or Service Name *

Role *

E-mail *

Phone *

Address (for delivery of promotional materials)

Preferred contact method *

Phone

Required

Questions and comments

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