Parent/Guardian details:

Title:   First Name:   Surname:

Email:

Child's details:

First Name:   Surname:

School: ---Alderman's Green Community Primary SchoolAldermoor Farm SchoolAll Saints' CE SchoolAll Souls' RC SchoolAllesley SchoolAllesley Hall SchoolBroad Heath Community SchoolCannon Park SchoolCharter SchoolChrist the King RC SchoolClifford Bridge Academy SchoolCorpus Christi RC SchoolCoundon SchoolCourthouse Green SchoolEarlsdon SchoolEastern Green Junior SchoolEdgewick Community SchoolErnesford Grange SchoolFinham SchoolFrederick Bird SchoolGood Shepherd RC SchoolGosford Park SchoolGrange Farm SchoolGrangehurst SchoolHearsall Community SchoolHenley Green SchoolHill Farm SchoolHolbrook SchoolHoly Family RC SchoolHowes SchoolJohn Gulson SchoolJohn Shelton SchoolJoseph Cash SchoolKeresley Grange SchoolLeigh CE SchoolLimbrick Wood SchoolLittle Heath SchoolLongford Park SchoolManor Park SchoolMoathouse Community SchoolMoseley SchoolMount Nod SchoolOur Lady of the Assumption RC SchoolPark Hill SchoolParkgate SchoolPearl Hyde SchoolPotters Green SchoolRadford Primary Academy SchoolRavensdale SchoolRichard Lee SchoolSacred Heart RC SchoolSeva SchoolSidney Stringer Primary SchoolSouthfields SchoolSowe Valley SchoolSpon Gate SchoolSS Peter & Paul RC SchoolSt Anne's RC SchoolSt Augustine's RC SchoolSt Bartholomew's CE SchoolSt Christopher SchoolSt Elizabeth's RC SchoolSt Gregory's RC SchoolSt John Fisher SchoolSt John Vianney RC SchoolSt John's CE SchoolSt Laurence's CE SchoolSt Mary and St. Benedict Catholic SchoolSt Osburg's RC SchoolSt Patrick's RC SchoolSt Thomas More RC SchoolStivichall SchoolStoke SchoolStoke Heath SchoolStretton CE SchoolTemplars SchoolWalsgrave CE SchoolWhitley Abbey SchoolWhitmore Park SchoolWhittle Academy SchoolWhoberley Hall SchoolWillenhall Community SchoolWyken Croft School

Please tick to confirm Year 5 student:

Well done! Simply copy your coloured letters from page 19 of your "Dennis to the Rescue" book into the matching coloured boxes below and complete the competition sentence.

Recycling...

                    

To SUBMIT your entry successfully you will need to simply fill in this short survey and then press Enter Competition

1. Besides your Year 5 child, who else in the home found the book engaging?
Tick all that apply:
MumDadBrotherSisterGrandparentOther relationGuardianFriend or Neighbour

2. Since using the book do you feel your family is more aware of the importance of recycling at home?
YesNoDon't know

3. Since using the book do you feel your family is actually recycling more at home now?
YesNoDon't know

4. How would you rate this educational book?
ExcellentGoodSatisfactoryPoorVery Poor

5. What is the biggest barrier in your household to recycling?

I confirm that

• I am the parent/guardian of the child named.
• My child attends the school selected.
• I agree to the terms and conditions of the competition.

Please tick to confirm acceptance:

I would like to receive more information about Coventry Recycling Club

I would like to receive discounts, offers and news from Skips Educational