Dordogne Jazz Summer School BOOKINGS

BOOKING FORM

Name: Mr/Mrs/Ms_______________________________________

Address______________________________________________

_____________________________________________________

Email ____________________

Telephone _______________

Mobile __________________

Instrument(s) __________________________________________

Read Music ? Yes/No ___________________________________

Level: beginner | intermediate | advanced ____________________

Grades : ______________________________________________

Musical Education : _____________________________________

Week Two is only suitable for experienced students who have attended the DJSS or a similar course before.
If you're interested in the second week indicate below and we'll be in touch.

I would like to be considered for WEEK TWO ? ___________ I am only interested in WEEK TWO _____________

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+___

Are you willing to share with more than one other person ? Yes_____ No_____

Special dietary needs (e.g. vegetarian etc. NB. you must stick 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)

One Week € 750 euros per person (spouse or partner € 475) Two Weeks € 1500 (spouse or partner € 950)

Offsite € 575 euros per person (spouse or partner € 350) Two Weeks € 1150 (spouse or partner € 700)

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).

Make cheques payable to "Mr. Dorian Lockett."

Signed…………………………………Date……………………

Booking Conditions (please read carefully)

1.	A deposit of 200 euros (or the full amount) should be sent with the booking form. The balance is due 4 weeks before the start of the course. If you have to cancel after this time, we will send you a 30% refund, but if you have to cancel within one week of the course, no refund will be possible
2.	We reserve the right to make changes to the course in the event of unforeseen circumstances (such as illness).
3.	We reserve the right to cancel the course up to three weeks before the start date. Naturally, in these circumstances, we will give you a complete refund of fees paid to the Dordogne jazz summer school. We advise obtaining travel insurance to cover any potential loss sustained in travel (flight/ferry) costs etc.
4.	We arrange transport from and to Bergerac Airport on the first and final Saturdays of the course only. We will of course attempt to pick up and drop off students on other routes but cannot guarantee to do so.
5.	We would remind students that accommodation at the Chateau is rudimentary - which is reflected in the cost of the course. Also anyone who has difficulty climbing stairs should be aware that the rehearsal rooms are accessible only by steep mediaeval staircases. (see the "Tour" pages for pictures)
6.	Saturdays are change-over days. Course activity limited to the evening jam session.

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)