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.