Visit enquiry form Contact details: Date of enquiry: Visit organiser: Organisation/school: Address: City: Postal/zip code: Country: Contact telephone: Mobile / emergency telephone: Email: How did you hear about us? Would you like to receive our education update? Yes No Preferences for visit: We can only accept groups of 15-30 participants per visit. If you are requesting more than one visit, please complete a new form for each visit. Preferred date (1): Preferred date (2): Preferred date (3): Preferred arrival time: Preferred departure time (duration 2-3 hours): 1 Participants: Number of participants: Number of teachers (if applicable): Age range of group: School Postgraduate Patients Teachers Undergraduate Family General adult Academic researchers Other Group type: If other please specify: Educational level: KS3 AS level BSc KS4 A2 level MSc BTEC International Baccalaureate PhD Special requirements: Desired research topics to be covered: Special needs / additional requirements: Expected type of transport (e.g., coach, mini-bus, taxi, car): Please return to: pubengage@wgc.org.uk Booking Request Public Engagement Wellcome Genome Campus Hinxton Cambridge CB10 1SA 2