Jazz & Beyond and Mojo Booking form

Page 1

Jazz & Beyond/Mojo Booking Form for IGF Summer School 2010 Please
send
this
completed
form
to
Ellen
Taylor,
Commercial
Services,
University
of
Gloucestershire,
Park
Campus,
The
 Park,
Cheltenham,
Glos,
GL50
2
RH
 Credit
card
payments
can
be
made
by
telephone
on
01242714830
 We
regret
we
cannot
accept
bank
transfers/postal
orders/Euro
cheques.

1.

Personal
Information
 First
Name
 
 Address
 
 
 Postcode
 
 Telephone
Number
 
 (Most
Used)
 





I’m
Male,








I’m
Female
 Age

Family
Name

Country
 
 Email

Have
you
been
to
an
IGF
course
before?
 

Yes





No

 How
did
you
hear
about
the
course?
 What
made
you
decide
to
book?

Car
Registration
Number
 Name
of
Accompanying
 Adult
(If
Applicable)
 
 If
Yes,
what
did
you
 
 study?

Young
People
 IGF
has
an
exemplary
record
of
caring
for
young
people.
All
young
people
under
the
age
of
18
years
and
their
parents
will
 be
required
to
sign
a
behaviour
and
acceptance
of
campus
rules
contract.
To
see
a
copy
of
these
rules
email
phil@igf.org.uk
 IGF
operate
a
strict
zero
tolerance
policy
to
alcohol
and
drugs.
With
regards
to
behaviour,
a
three
strikes
and
out
policy.
 IGF
reserves
the
right
to
send
home
anyone
at
any
time
found
breaking
campus
rules
without
a
refund.
Any
damage
to
 property
will
be
recovered.
Non
Residential
under
18s
are
not
allowed
in
the
SU,
unless
it
is
Student
Showcase
night.

Medical
Information
 Please
supply
the
following
information
 Do
you
have
any
allergies?
 Are
you
taking
any
medication?
 Are
you
allergic
to
any
medication?
 Do
you
suffer
from
any
medical
 complaints/illness?
 Your
doctor’s
contact
details
 Two
emergency
contact
numbers
for
 relative/parent/guardian


Yes




No
 
Yes




No
 
Yes




No
 
Yes




No

If
Yes,
please
give
details:
 If
Yes,
please
give
details:
 If
Yes,
please
give
details:
 If
Yes,
please
give
details:

Course
Booking
Information
 Please
tick
the
relevant
boxes
and
add
up
the
total
cost.
You
can
pay
in
full
or
pay
a
non‐refundable
deposit
of
£100.
To
 secure
your
booking.
The
balance
must
be
paid
in
full
on
or
before
31
May
2010.
All
bookings
made
after
this
date
must
be
 paid
in
full.
All
bookings
must
be
received
by
19th
July
2010.
 
 All
electrical
equipment
brought
on
the
University
of
Gloucestershire
campus
must
be
PAT
tested
by
the
University
of
 Gloucestershire
and
all
plugs
CE
labelled.
IMPORTANT:
Please
supply
an
ID
size
photo
which
will
be
used
for
all
ID
 purposes
during
your
stay
(by
email
or
post).


2.
Jazz
&
Beyond/
Mojo
 
Tuition
24‐29
July

Level

Options
(A)
 Jazz & Beyond

Level (approx)

Mojo

What
you
get

Tuition
costs
 and
concerts

Includes

Students
receive
a
minimum
equivalent
to
6
x
5hr
 days
of
tuition.

 Students
receive
a
minimum
equivalent
to
6
x
5hr
 days
of
tuition.

£356

Access
to
all
concerts
and
SU

£40

£356

Concert and SU Jam Pass (B) (compulsory for residential students)

Total
A+B

3.
Accommodation
–
Arrive
Sat
24
July‐
Depart
Friday
30
July.

6
Nights

Challinor
half
board
–
single
room
with
shared
bathroom,
breakfast
and
dinner
(very
limited
places)
 Park
Villas
half
board
–
single
room
with
own
bathroom
and
meals
as
above
 Challinor
extra
night
B&B
(add
£27.50
)
 Park
Villas
etra
night
B&B
(add
£36.00)

£255.00
 £294.00

Extra
night
stay:
To
arrive
a
night
early
due
to
travel,
or
if
staying
for
2
weeks
there
is
an
additional
night
required.

Would
you
like
your
room
next
to
someone
attending?
Name:
…………………………………………………We
will
try
to
accommodate
you.

NB:
Daily
refreshments
inc.
coffee
breaks
and
lunches
can
be
purchased
in
the
University
Refectory
 Dietary
Requirements

 Please
specify
if
you
have
a
special
diet
–
we
can
cater
for
most
diets
 Vegetarian






Yes







No
 Other
requirements
………………………………………………………………………………………………….

Discounts
–
You
can
choose
ONE
discount
from
the
list
below
 Early
booking
discount
 Young
person’s
discount
 Young
person’s
discount

If
booking
by
April
2010
(date
posted)
 For
accompanied
under
18s
only
 For
unaccompanied
under
18s
only

‐£30
 ‐£30
 ‐£15

Sub
Total
 Add
up
everything
you
have
chosen
so
far
and
put
the
total
here:

Credit
Card
booking:
A
credit
card
booking
charge
of
£5
will
be
aged
if
you
are
paying
the
full
amount
by
credit
card
 If
you
are
paying
a
deposit
of
£100
now
by
credit
card
and
the
balance
by
card
later,
the
booking
charge
is
payable
each
time

Grand
Total
(Including
Transaction
Charges
and
Discounts)

£

Payment
Instructions.
Deposit
payment
is
only
available
until
31
May
2010
 


I
wish
to
pay
in
full
the
amount
in
the
total
payable
box
above;





or
I
wish
to
pay
a
non‐refundable
deposit
of
 £100
 


I
enclose
a
cheque/bankers
draft
made
payable
to
UNIVERSITY
OF
GLOUCESTERSHIRE
 I
wish
to
pay
by
credit/debit
card:




Visa


Mastercard



Delta



Access



Switch/Maestro
 
 Card
Number








 
 Start
Date
/




















Expiry
Date
/

























Issue
Number

 
 Security
Code
(The
last
3
digits
on
the
signature
strip
at
the
back
of
the
card)

 
 Card
Holder’s
address
(If
different
from
address
of
the
person
booking)
….......................................................
 ……………………………………………………………………………………………………………………………………………………………………….
 
 Signature
 Students
‐
arrival
is
on
Saturday
24
July
between
10am‐12pm
with
departure
on
Friday
30
July
after
breakfast.
 Data
Protection
and
IGF
Marketing:
In
signing
this
document,
you
understand
and
accept
that
the
University
of
Gloucestershire
and
IGF
 will
keep
your
information
on
a
database.
Please
tick
as
applicable:

I
would
like
for
my
details
to
be
kept
on/added
to
the
IGF
mailing
list
 to
receive
future
mailings
relating
to
this
festival.

I
am
happy
to
receive
occasional
information
from
other
carefully
selected
festivals,
 projects
and
venues.
I
would
like
to
receive
information
about
Becoming
a
Benefactor
.
Opportunities
to
sponsor
IGF
.
 All
details
correct
at
the
time
of
going
to
press.
We
reserve
the
right
to
alter
details
if
necessary.


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