Booking form

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* 1. Name and contact details

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* 2. Are you under 18?  If yes, please provide a) your date of birth, and b) the email and mobile contact details for your parent or other caregiver.

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* 3. Do you wish to attend the RMJSC on a residential or non-residential basis?

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* 4. Instrument / voice
Please tick just one main instrument/voice - if you have a second instrument/voice please also tick 'other' at the end of the list and state your additional instrument in the text box.

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* 5. Please advise us of any specific medical, dietary, access or other relevant requirements.

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* 6. Next-of-kin contact details in case of emergency during the course

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* 7. Please indicate if you qualify for either of the following discounts (please note that participants can claim one discount only).

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* 8. Would you be able to help us promote the RMJSC by displaying or distributing some postcard-size flyers and/or posters?  If yes, please indicate quantities in the box below and we will post them out to you.  Many thanks.

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* 9.
A deposit of £75 is required with every booking.  This becomes non-refundable as soon as we confirm that a place is available for you.  Please make cheques payable to East of Scotland Jazz Education / or to make a direct bank payment, please include your full name as the payment reference and use the following payee details (Clydesdale Bank):

East of Scotland Jazz Education: Sort Code 82-67-30: Account Number 20045873

Balance payments must be made in full no later than 31st May 2019.

Please indicate how you have made your deposit payment.

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* 10. Conditions of Acceptance
• The Richard Michael Jazz Summer Course reserves the right to substitute tutors if necessary and to cancel the course in the event of insufficient enrolment. All fees will be refunded if the course is cancelled by the organisers.
• Insurance: it is recommended that students arrange insurance for their musical instruments and personal property in case of loss or damage. It is regretted that neither the course organisers nor the venue owners can accept responsibility for any loss or damage to personal property.
• Cancellation policy: provided we are able to offer you a place on the course, the booking fee of £75.00 becomes non-refundable. The balance of fees is due no later than 31st May 2019.  Participants cancelling a booking after 1st June 2019 will not be entitled to any refund of payments.

Please state your full name and the date of application below:

I understand and agree to the Conditions of Acceptance, and have made payment of the booking fee of £75.00 (applicants under 18 require the confirmation of a parent or carer).

During holiday periods please allow up to two weeks to receive an acknowledgement of a booking or payment, or a response to an enquiry.

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