Milton Keynes Museum

Date: 4 April 2017 
Venue: Milton Keynes Museum – Wolverton, Milton Keynes
Age: 5+ years and families
Cost: £5 per person
Closing Date: 7 March 2017

Families are invited to join us for a day of historical intrigue at Milton Keynes Museum. We will be transported back in time to wander through the traditional house, school room and old fashioned shops. Discover how communications have progressed in the fascinating ‘connected earth’ exhibition and climb aboard a traditional Stony Stratford tram in the transport room.

The museum is very tactile and encourages visitors to pick up and explore most of the objects on display. You can play parlour games, cook your own hot buttered toast on the stove and even play the pianola. The museum aims to bring bygone eras to life with ‘hands on history’, making it an ideal venue for our VICTA families to come together in.

Our family days are aimed at the whole family and strive to entertain the children while bringing parents together to make new connections and friendships.

If you would like to join us on this activity, please apply via the online application form below. Should you be offered a place we will then require a contribution of £5 per person (children under three years of age are free). If we haven’t previously seen them, we will also require a copy of your child’s registration documents or documents to confirm that they are registrable.


Milton Keynes Museum Family Day Application Form

Fields marked with a * are mandatory.


Note for applicants completing this form

After completion, if you have successfully submitted the form, you should receive a successful submission message. If you do not it may be because you have not completed a required field. Fields which have not been completed will then be marked with the message 'This is a required field' so you may wish to search this.

After your form has successfully gone through you will also receive notification via email. If you do not receive an email please contact the office on 01908 240 831 as there may have been a problem with your application.

Part One - Family Details

Part Two - Family Members Attending


In the following section, please provide full names, dates of birth and information for all family members you wish to include in your application.

Applicant One

Applicant Two

Applicant Three

Applicant Four

Applicant Five

Applicant Six

Part Three - Photographs and Filming

Photographs and video footage may be taken during this activity. These will be used to create photo albums both on our website and on social media after the activity to share with family and friends and to promote the activity. VICTA may also use any photographs or video material taken during an event for the future marketing, publicity and fundraising of activities.

Part Four - Declaration, Privacy and Consent

To be signed by the parent or guardian aged 18 or above.

This form has been completed accurately and I undertake to update VICTA should any of the information in this form change.

a. I/the applicant agree(s) have read all the information sent, and agree to take part in VICTA's activity.

b. I acknowledge the need to/for my child to behave responsibly at all times during the activity.

c. I confirm that this form has been completed accurately and I undertake to update VICTA's organisers should any information contained on the form or personal circumstances change.

d. In the event of an emergency/accident, I consent to emergency medical treatment, which may include the use of anesthetics.

e. By signing this form you consent to VICTA using the information supplied for the purpose of administering the named event. All the information will be treated in the strictest of confidence and made available only to those staff working with the participant. Contact information will be retained and used for marketing of other relevant services.

f. I give consent for VICTA to carry out the following in accordance with the Data Protection Act (1998) and to store my personal information on VICTA's database and/or any other suitable system.

g. I agree to provide any relevant additional information required, such as the applicant's CVI and a parent consent form for each child attending with the application.

Part Four - Agreement to Payment

Cheques must be made payable to VICTA and posted to:
VICTA
Silverstone House
46 Newport Road
Woolstone
Milton Keynes
MK15 0AA

If you wish to pay by card over the phone please call us on 01908 240831.

PLEASE NOTE: After you click submit the form will be hidden and you should receive an on-screen successful submission message. You will also receive a confirmation email. If you do not it may be because you have not completed a required field. Fields which have not been completed will then be marked with the message 'This is a required field' so you may wish to search this.