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Big Voice 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 Family Name Address Postcode Country Telephone Number (Most Used) Email I’m Male, I’m Female Car Registration Number Age Name of Accompanying Adult (If Applicable) Have you been to an IGF course before? Yes No If Yes, what did you study? How did you hear about the course? What made you decide to book? 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 [email protected] 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? Yes No If Yes, please give details: Are you taking any medication? Yes No If Yes, please give details: Are you allergic to any medication? Yes No If Yes, please give details: Do you suffer from any medical complaints/illness? Yes No If Yes, please give details: Your doctor’s contact details Two emergency contact numbers for relative/parent/guardian 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).

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Page 1: Big Voice booking form

           

Big Voice Booking Form for IGF Summer School 2010 

PleasesendthiscompletedformtoEllenTaylor,CommercialServices,UniversityofGloucestershire,ParkCampus,ThePark,Cheltenham,Glos,GL502RHCreditcardpaymentscanbemadebytelephoneon01242714830Weregretwecannotacceptbanktransfers/postalorders/Eurocheques.

1.PersonalInformation

FirstName FamilyName Address

Postcode Country TelephoneNumber(MostUsed)

Email

I’mMale,I’mFemale CarRegistrationNumber Age NameofAccompanying

Adult(IfApplicable)

HaveyoubeentoanIGFcoursebefore? YesNo

IfYes,whatdidyoustudy?

Howdidyouhearaboutthecourse? Whatmadeyoudecidetobook?

YoungPeopleIGFhasanexemplaryrecordofcaringforyoungpeople.Allyoungpeopleundertheageof18yearsandtheirparentswillberequiredtosignabehaviourandacceptanceofcampusrulescontract.Toseeacopyoftheserulesemailphil@igf.org.ukIGFoperateastrictzerotolerancepolicytoalcoholanddrugs.Withregardstobehaviour,athreestrikesandoutpolicy.IGFreservestherighttosendhomeanyoneatanytimefoundbreakingcampusruleswithoutarefund.Anydamagetopropertywillberecovered.NonResidentialunder18sarenotallowedintheSU,unlessitisStudentShowcasenight.

MedicalInformationPleasesupplythefollowinginformation

Doyouhaveanyallergies? YesNo IfYes,pleasegivedetails:

Areyoutakinganymedication? YesNo IfYes,pleasegivedetails:Areyouallergictoanymedication? YesNo IfYes,pleasegivedetails:Doyousufferfromanymedicalcomplaints/illness?

YesNo IfYes,pleasegivedetails:

Yourdoctor’scontactdetails Twoemergencycontactnumbersforrelative/parent/guardian

CourseBookingInformationPleaseticktherelevantboxesandaddupthetotalcost.Youcanpayinfullorpayanon‐refundabledepositof£100.Tosecureyourbooking.Thebalancemustbepaidinfullonorbefore31May2010.Allbookingsmadeafterthisdatemustbe

paidinfull.Allbookingsmustbereceivedby19thJuly2010.AllelectricalequipmentbroughtontheUniversityofGloucestershirecampusmustbePATtestedbytheUniversityofGloucestershireandallplugsCElabelled.IMPORTANT:PleasesupplyanIDsizephotowhichwillbeusedforallIDpurposesduringyourstay(byemailorpost).

Page 2: Big Voice booking form

2.BigVoiceTuition31July‐5Aug Level? Whatyouget Tuition&Concertcosts

Options(A)   Includes  Big Voice Academy  Studentsreceiveapproximately6x6hrdaysoftuition. £310

Concert & SU jam pass (B) (compulsory for residential students) Accesstoallconcerts&SU £40

3.Accommodation–ArriveSat31July‐DepartFriday6Aug. 6Nights

Challinorhalfboard–singleroomwithsharedbathroom,breakfastanddinner(verylimitedplaces) £255.00ParkVillashalfboard–singleroomwithownbathroomandmealsasabove £294.00ChallinorextranightB&B(add£27.50) ParkVillasetranightB&B(add£36.00) Extranightstay:Toarriveanightearlyduetotravel,orifstayingfor2weeksthereisanadditionalnightrequired.

Wouldyoulikeyourroomnexttosomeoneattending?Name:…………………………………………………Wewilltrytoaccommodateyou.

NB:Dailyrefreshmentsinc.coffeebreaksandlunchescanbepurchasedintheUniversityRefectory

DietaryRequirementsPleasespecifyifyouhaveaspecialdiet–wecancaterformostdietsVegetarianYesNo Otherrequirements………………………………………………………………………………………………….

Discounts–YoucanchooseONEdiscountfromthelistbelowEarlybookingdiscount IfbookingbyApril2010(dateposted) ‐£30Youngperson’sdiscount Foraccompaniedunder18sonly ‐£30Youngperson’sdiscount Forunaccompaniedunder18sonly ‐£15

GrandTotal(IncludingTransactionChargesandDiscounts) £

Students‐arrivalisonSaturday31Julybetween10am‐12pmwithdepartureonFriday6Augustafterbreakfast.DataProtectionandIGFMarketing:Insigningthisdocument,youunderstandandacceptthattheUniversityofGloucestershireandIGFwillkeepyourinformationonadatabase.Pleasetickasapplicable:Iwouldlikeformydetailstobekepton/addedtotheIGFmailinglisttoreceivefuturemailingsrelatingtothisfestival.Iamhappytoreceiveoccasionalinformationfromothercarefullyselectedfestivals,projectsandvenues.IwouldliketoreceiveinformationaboutBecomingaBenefactor.OpportunitiestosponsorIGF.Alldetailscorrectatthetimeofgoingtopress.Wereservetherighttoalterdetailsifnecessary.

TotalA+B

SubTotalAddupeverythingyouhavechosensofarandputthetotalhere: CreditCardbooking:Acreditcardbookingchargeof£5willbeagedifyouarepayingthefullamountbycreditcardIfyouarepayingadepositof£100nowbycreditcardandthebalancebycardlater,thebookingchargeispayableeachtime

PaymentInstructions.Depositpaymentisonlyavailableuntil31May2010 Iwishtopayinfulltheamountinthetotalpayableboxabove; orIwishtopayanon‐refundabledepositof£100 Iencloseacheque/bankersdraftmadepayabletoUNIVERSITYOFGLOUCESTERSHIREIwishtopaybycredit/debitcard: Visa Mastercard Delta Access Switch/MaestroCardNumber StartDate/ ExpiryDate/ IssueNumber SecurityCode(Thelast3digitsonthesignaturestripatthebackofthecard) CardHolder’saddress(Ifdifferentfromaddressofthepersonbooking)….......................................................……………………………………………………………………………………………………………………………………………………………………….Signature