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Name*
Date*
Site address*
Contact number*
Contact email*
Name of School / Organisation*
Contact Name (the teachers pack will be sent to this person)*
School / Organisation Location*
Total number of children*
Number of class demonstrations*
TACS demonstration date*
No. of TACS Insert*
No. of TACS Clip on Reflectors (1 per child)*
No. of TACS Pencils (1 per child)*
No. of TACS Certificate (1-2 per school*
No. of TACS Teachers pack (1 per class)*
Additional Requirements / Comments
Please attach your completed risk assessment form. We regret that we cannot fulfil your order until this form has been received.*
Please click the Submit button to confirm your order. By clicking submit it will send a copy to you (website@dhlukfoundation.org) and to the Foundation office.