Day visits booking – Scargill Movement

Which day?*

Saturday 24th October - morning (6 spaces left)
Saturday 24th October - afternoon (6 spaces left)
Wednesday 28th October - morning (1 space left)
Wednesday 28th October - afternoon (8 spaces left)
Saturday 31st October - morning (8 spaces left)
Saturday 31st October - afternoon (5 spaces left)

Number of people*

Please enter a number from 1 to 8.

Name of first person*

First name Surname

Address of first person*

Postcode

Contact email address*

Contact phone number*

Name of second person*

First name Surname

Address of second person*

Postcode

Name of third person*

First name Surname

Address of third person*

Postcode

Name of fourth person*

First name Surname

Address of fourth person*

Postcode

Name of fifth person*

First name Surname

Address of fifth person*

Postcode

Name of sixth person*

First name Surname

Address of sixth person*

Postcode

Name of seventh person*

First name Surname

Address of seventh person*

Postcode

Name of eighth person*

First name Surname

Address of eighth person*

Postcode

Your data will be processed securely by Scargill Movement. We will never spam you or sell your data. See our privacy policy...

Shall we keep in touch?*

We'd love to email you occasionally about other future Scargill news and events. May we add you to our general email list if you're not already on it?

Yes, please add me to the e-mail list
No thanks

NHS Test & Trace*

We're so glad that you want to come and visit us!
In order for you to visit, we are legally required to get your consent to use your contact details, if needed, to support the NHS Test and Trace programme.
In line with guidance issued by the Department for Health and Social Care, we will keep your details from this form safely and in compliance with GDPR legislation for 21 days after your visit, before securely disposing of or deleting them. We will only share your details with NHS Test and Trace, if asked, in the event that it is needed to help stop the spread of COVID-19.

I agree to my data being used for NHS Test and Trace

Pre-Visit Declaration*

To help take care of each other, we need you to let us know straight away if any of the questions below are true on the day or the day before your visit, for any of the people in your group. Unfortunately, people for whom any of these questions are true won't be able to visit.

1. Do you live in an area with a Local COVID Alert Level of High (Tier 2) or above?
2. Do you currently have, or have you experienced in the last 14 days, any COVID-19 symptoms, even if only mildly?
(new continuous cough, temperature above 37.5 degC or loss / change in normal sense of taste or smell)
3. Have you felt physically unwell with any other symptoms in the last 14 days?
4. Have you had any close contact with, or cared for, someone diagnosed with or suspected of having COVID-19 within the last 14 days?
5. Have you travelled back from a country on the UK Quarantine list in the past 14 days?
6. Have you been in close contact with anyone who has travelled back from a country on the UK Quarantine list within the last 14 days?

I agree to contact Scargill straight away if any of these questions are true on the day or the day before my visit, for any of people in my group.