Tell Me More

There are three ways to contact 21st Century Legacy and find out more about the Be the Best you can Be! Programme:

• Please complete the Tell Me More form below
• Please call us on 01672 519 264
• Please email moc/ycagelyrutnects12//eromemllet

This is a Tell Me More form. To sign up for the Programme please download and complete a School Agreement here.

Section 1 - About You

Your Name *

Email: *

Telephone: *

My role is
e.g. Headteacher, Governor, Teacher, Parent

Please tick all that apply:

	Please contact me to arrange for Dr David Hemery CBE to address a Headteacher's meeting
	Please tell me more about the Be the Best you can Be! Secondary Programme
	Please tell me more about the Be the Best you can Be! Primary Programme
	Please keep me informed about new Be the Best you can Be! Resources
	This is for my School
	This is for a School I know

Section 2 - About the School / College / Academy

Name

Local Education Authority Area:

Telephone: *

Section 3 - About the Headteacher

Name

Email: *

Telephone: *

Section 3 - About the Headteacher's PA

Name

Email: *

Telephone: *

Please enter the code shown in the image: *
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