Please register here:Fields marked with * are required. First Name Last Name Job Title (including subject if teacher) Email Address Address Is this address a household or organisation?HouseholdOrganisation Please look up your school here, using the name or postcode. (If not listed, or if you are from a Club Community Organisation, please manually enter in the box below) School or Organisation Name Street Address Street Address Line 2 City County Postcode CountryPlease select... 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Thames Gateway North London, Herts, Bucks and Beds South London, Thames North bank, areas of Surrey and Kent South England Number of TeamsPlease select... 1 2 We invite each school to bring a head or senior leaderto the first session free of charge. Will you be sending one?YesNoNot sure Team 1 Student Names (if known. please enter separated by a comma) Team 2 Student Names (if known. please enter separated by a comma) Team 1 Details First Name Surname Email Address Job Title (including subject if teacher) Organisation is the same as above?YesNo Organisation Name Organisation Street Line 1 Organisation Street Line 2 Organisation City Organisation County Organisation Postcode Organisation CountryPlease select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos ( Keeling ) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d ' Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Congo ( DRC ) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands ( Islas Malvinas ) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino São Tomé and Prìncipe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands ( British ) Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe Dietary Requirements Access Requirements Team 2 Details First Name Surname Email Address Job Title Dietary Requirements Access Requirements Additional Delegate 2 First Name Surname Email Address Job Title Dietary Requirements Access Requirements Additional Delegate 3 First Name Surname Email Address Job Title Dietary Requirements Access Requirements Additional Delegate 4 First Name Surname Email Address Job Title Dietary Requirements Access Requirements Additional Delegate 5 First Name Surname Email Address Job Title Dietary Requirements Access Requirements Head/SLT Information First Name Surname Email Address Job Title Dietary Requirements Access Requirements How did you hear about the quiz?Please select... Regional Organiser National Literacy Trust website Local Hub Communication Email Other Have you taken part in a similar quiz before?Please select... Yes No Payment Information Total GBP (This purchase is exempt from VAT) Purchase order number if required Payment methodInvoice If you have any difficulty paying in this way please email Henrietta.roberts@literacytrust.org.uk Card Details (We use Stripe as our payment processor) Name on Card Card Number please enter spaces between digits - e.g XXXX XXXX XXXX XXXX MM YYYY CVC Edit this text Are you able to attend the revised date for your Regional HeatPlease select... Yes No If you have any comments, please let us know and we will try to get back to you asap Would you like to be entered in to the prize draw to win a Melchester Rovers shirt (for the teacher!) and set of signed books? YesNo Would you like your school to actively take part in the event? We are looking for schools to appear on camera to answer questions on-screen so please let us know if you would like to do this. (Your pupils will of course need permission to appear on screen.) YesNo How many pupils will attend the event? (You can share your link with other classes in your school, or encourage them to sign up themselves for the chance to win.) Would you like to be contacted to hear about other sport-themed author activities? YesNo