The Steve Waterman Residential Jazz Weekend Steve Waterman Residential Big Band Jazz Course
Booking Form Booking Form
2pm Friday 30th March -Sunday 4pm Sunday 2nd5th April 2007 Friday April 4th----Sunday Sunday April 6th 2008 Friday March 31st April 2nd 2006 Friday 9th March 11th 2012 Friday April 3rd Sunday April 2009
The Diplomat Hotel, Llanelli South The Heronston Hotel, Ewenny Road, Bridgend. South Wales Wales CF35 5AW PLEASE COMPLETE IN BLOCK CAPITALS
Full name: (Dr./Mr./Mrs./Miss/Other) Age: 18-25 ❏ 26-35 ❏ 36-50 ❏ 51-65 ❏ over 65 ❏ (Please tick ✔) Address:
Email: Telephone:
Mobile Number:
Where did you hear about this course? - Advert ❏ Recommendation ❏ website ❏ Other ❏ (Please tick ✔) Please specify: I wish to apply for the following course(s) and enclose the following payments. I have read and accept the current Conditions of Booking published on the website. Instrument
Grade/Standard
If you are a member of a pre-formed group please give the names and instruments of the other members of your group.
Please detail any information which may help us (e.g. details of experience, other instruments played etc).
❏ I will be Resident ❏ I wish to occupy a Standard En-suite ❏ I wish to share a double/twin* room with ❏ If a single room is not available, would you be prepared to share? ❏ Yes ❏ No ❏ If no accommodation is available at The Diplomat would you stay offsite? ❏ Yes ❏ No ❏ Do you have any special dietary requirements? (please continue on a further sheet if necessary)
❏ Do you require wheelchair access or have other medical or special needs? (please continue on a further sheet if necessary) I enclose full payment of £ payable to the ‘Steve Waterman Jazz Orchestra’ which confirms my O I enclose a deposit of £50 to secure my place, with the balance payable of £230 payable by January 30th 2008. by January 31st 2012 2009 attendance to the course and includes my accommodation, meals and use of the Health Suite at The Diplomat Hotel
Llanelli from Friday 31st Sunday 2nd April 2006. 30th March 1st April 2007. O I enclose full payment of to £280. Please make cheques payable to the “Steve Waterman Jazz Orchestra”
or you can pay via PAYPAL on the website www.swjo.co.uk Signed
Dated
PLEASE NOTE: To book a place on a course we require full payment, and any appropriate room upgrade supplement. Room supplements are payable to guarantee a particular non-standars room type, subject to availability. Only one supplement is payable per person per course. The resident fees quoted is inclusive of single standard accommodation.
Please return to: Steve Waterman Jazz Course, Rocket House, 24 Llwyn Y Gog, Rhoose Point, Vale of Glamorgan CF62 3LS. Telephone 01446 713301 Fax: 01446 711860 e: jazz@swjo.co.uk By signing this form I consent to having my details held on record. They will only be used in relation to the Course activities.