| PRINT and POST BOOKING FORM | |||||||||||||||||||||
| There are no payment details on this page as we need to confirm availability before any transaction takes place. | |||||||||||||||||||||
| Name: Mr/Mrs/Ms_______________________________________ | |||||||||||||||||||||
| Address______________________________________________ | |||||||||||||||||||||
| _____________________________________________________ | |||||||||||||||||||||
| Email ____________________ |
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| Telephone _______________ | |||||||||||||||||||||
| Mobile __________________ | |||||||||||||||||||||
| What instrument will you be playing on the course ? ) __________________________________________ |
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| Read Music ? Yes/No ___________________________________ |
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| Level: beginner | intermediate | advanced ____________________ | |||||||||||||||||||||
| Grades : ______________________________________________ | |||||||||||||||||||||
| Musical Education : _____________________________________ | |||||||||||||||||||||
| The INTENSIVE Course is only suitable for experienced students who have attended the DJSS INCLUSIVE week or a similar course before, for example; or have other similar experience. If in doubt email and ask. | |||||||||||||||||||||
| I would like apply for INTENSIVE INSTRUMENTAL COURSE or VOCAL COURSE JULY 23rd - JULY 30th ?_____________________________________ | |||||||||||||||||||||
Week One Options (Please tick)
INSTRUMENTAL ___________ VOCAL_______________ |
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| I would like apply for INCLUSIVE WEEK JULY 30th - AUGUST 6th ? _____________________________________ | |||||||||||||||||||||
| The following questions help us with room allocation | |||||||||||||||||||||
| Smoker_________ Non Smoker________ | MALE________ FEMALE_________ | ||||||||||||||||||||
| Age Group 18-25___ 25-35___35-45___ 45-55___ 55-65____65+___ | |||||||||||||||||||||
| Special dietary needs (e.g. vegetarian etc. NB. you must keep to this choice for the whole course) ___________________ | |||||||||||||||||||||
| Means of travel (e.g. air, car, train etc.) ______________________ | |||||||||||||||||||||
| Details (if known) ______________________________________ | |||||||||||||||||||||
| Fees are priced in euros. - if you're not paying in euros on receipt of this form we will invoice you for the correct amount in your own currency (£ Sterling for example) | |||||||||||||||||||||
| ONSITE - STAYING IN THE CHATEAU ITSELF | |||||||||||||||||||||
| Week One € 900 euros per person pre week (spouse or partner € 550) | |||||||||||||||||||||
| Weeks Two € 900 (spouse or partner € 550) | |||||||||||||||||||||
| OFFSITE - STAYING IN A HOTEL OR GITE etc. | |||||||||||||||||||||
| Week One Offsite € 700 euros per person (spouse or partner € 400) | |||||||||||||||||||||
| Week Two Offsite € 700 (spouse or partner € 400) | |||||||||||||||||||||
| STUDENT RATE (only available to those in full-time education. Proof required.) | |||||||||||||||||||||
| Week One or Two € 550 euros per person per week | |||||||||||||||||||||
| Deposit € 200 euros per person | |||||||||||||||||||||
| I enclose: Deposit of € _______ OR Full amount of €
___________ (NB:balance on deposit payable not later than 4 weeks before start of course). |
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| I have read and understood the booking conditions and consent to the DJSS collecting and storing my data from this form | |||||||||||||||||||||
| Signed………………………………… | |||||||||||||||||||||
| Date…………………………………… | |||||||||||||||||||||
| Booking Conditions (please read carefully) | |||||||||||||||||||||
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| Before downloading or printing out the booking form and sending off your deposit, it is worth emailing us to check that there is room on the course. We will reply straight away and, assuming there is room, we'll reserve you a provisional place which will be confirmed when we receive your booking form and deposit. We recommend completing the online booking form first. | |||||||||||||||||||||
Send booking forms to: Mr. Dorian Lockett, Dordogne Jazz Summer School, 212 Sherwood Avenue, London SW16 5EF (UK) |
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