Schools' Booking Request Form
Please complete this form as fully as possible. A member of the Picturehouse Education team will come back to you as soon as possible to let you know whether or not we can accommodate your request. At busy periods, this may take up to two working days so please bear with us.

Please note that once your booking is confirmed we will raise an invoice for you. You will need to bring a copy of the invoice along with your payment on the day of your trip (we can accept cash, card or cheque).

By completing this form you consent to be contacted by Picturehouse Education.

Name of School *
Please provide the FULL postal address to be used on your invoice
Your answer
Teacher Contact Name *
Your answer
Teacher Contact Phone Number *
Your answer
Teacher Contact Email *
Please check you have entered in your email correctly
Your answer
Would you like to join our mailing list to receive regular newsletters about our schools' programme? *
Subject/s Taught (so we can tailor our newsletters to you where possible)
Your answer
Cinema Attending *
(if your school is located between two Picturehouse cinemas please put both in order of preference)
Your answer
Name of Film or Event *
Your answer
First choice date (If requesting a private hire.) *
Please note; we'll need to get everything confirmed at least 2 weeks before the desired screening date for Private Hires.
MM
/
DD
/
YYYY
Second choice date
(If requesting a private hire)
MM
/
DD
/
YYYY
Number of Pupils *
Your answer
Number of Accompanying Adults *
Your answer
Please specify any requirements and number of wheelchair spaces needed *
Your answer
Year Group(s) Attending
Please tick all that apply
Popcorn + Squash drink Combo £1.80pp
How many would you like please? (Please note these are not available for events with Intros/speakers.)
Your answer
Popcorn + Fizzy drink/ juice carton Combo - £2.20pp
How many would you like please? (Please note these are not available for events with Intros/speakers.)
Your answer
Would you be happy for photos to be taken at this screening?*
(If a photographer will be attending your event advance notice will be given)
Finance Officer Name
Your answer
Finance Officer Email
Please check the email you have entered in is correct
Your answer
Any further comments or queries.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Picturehouse Cinemas. Report Abuse - Terms of Service - Additional Terms