Demonstration Booking Form

Teacher's Name *

C2K Email *

Name & Address of School

School Telephone Number *

Who is the designated Child Protection Officer in your school? *

How many demonstrations would you like to book? * for example: 3

Please detail the YEAR GROUP, SUBJECT, DATE AND TIME and NUMBER OF PUPILS for each booking you wish to make. * for example : Year 8 Home Economics- 10 October 2021 - 10:30-11:45 (20 pupils) Year 9 Home Economics - 17th November 2021 - 2:00-3:30 (18 pupils) Year 10 Home Economics- 20th November 2021 - 11:15-1:00 (21 pupils)

Is there a specific topic you would like the demonstrator to cover? (eg. Macronutrients, Micronutrients, Healthy Lifestyle) *

FOR LMC TO PROVIDE A BENEFICIAL COOKERY DEMONSTRATION PLEASE PROVIDE AS MUCH INFORMATION AS POSSIBLE

Can access be gained to the room 1 hour beforehand? *

YES NO

IF NO, A MINIMUM OF 30 MINUTES IS REQUIRED

Are there any communication barriers and what support is available from the school. *

YES NO

Do any pupils have allergies or dietary restrictions which the demonstrator should be aware of? *

YES NO

IF YES, PLEASE SPECIFY

Covid-19 Protocol Questions

Can social distancing be adhered to in the classroom between the demonstrator and the pupils?

Yes No

Does the demonstrator need to wear a face covering to conduct the demonstration?

Yes No

Can the demonstrator make use of the utensils available in the classroom? The demonstrator will provide a list of required utensils prior to the demonstration.

Yes No

Will there be someone available at reception to help the demonstrator carry equipment to the room if required? (socially distanced)

Yes No

In order for the demonstrator to provide samples, the teacher will be required to distribute the samples. Is this feasible in your classroom.

Yes No

I confirm that all the details on this booking form are correct and that a teacher will be present in the room at all times during the demonstration. *

I confirm that I have read the Covid-19 Protocol for School Cookery Demonstrations located at the bottom of this page and will follow the guidelines. *

SIGNED: *

DATE: *

School Cookery Demonstration Booking Form

Covid-19 Protocol Questions

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