Booking form – Richard Michael Jazz Summer Course

Name *

First

Last

Email *

Postcode *

Full postal address *

Phone number *

Please leave a space after the first five digits

Are you under 18? *

Yes
No

If 'yes', please state your date of birth

If 'yes', please provide an email address for your parent or other caregiver

If 'yes', please provide a phone number for your parent or other caregiver

Do you wish to attend the RMJSC as a residential or non-residential participant? *

Residential
Non-residential

What is your main instrument / voice? *

If you have selected 'other', please give details

Please advise us of any medical, access, dietary or other relevant requirements, or state 'none' if not applicable. *

Name of next of kin in case of emergency during the course *

First

Last

Phone number for next of kin in case of emergency during the course *

Please leave a space after the first five digits

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

(1) A group discount of 5% per participant can be claimed when between five and nine active members of a musical ensemble book places on the course. (2) A group discount of 10% per participant can be claimed when ten or more active members of a musical ensemble book places on the course. (3) A family discount of 5% per family member can be claimed when two or more family members book to participate in the course.

If you are claiming a group discount, please state the name of the group

Please indicate how you have made your deposit payment *

Bank transfer
Cheque

A deposit of £80 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

Please read the Conditions of Acceptance below and state your name and the date of booking to indicate that you understand and agree to them. If you are under 18, your parent or caregiver needs to complete this section. *

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 deposit becomes non-refundable. Participants cancelling a booking less than one month before the start of the course will not be entitled to any refund of payments.

How did you find out about the Richard Michael Jazz Summer Course? *

Would you be able to help us let other people know about the course by displaying or distributing some postcard-size flyers, please? (copy) *

Yes
No

If 'yes', please state how many you would like and we will post them out to you. Many thanks.

Are you happy for us to keep your email address on file after the end of RMSJC 2022 in order to tell you about future courses? Your contact details will be stored securely and never shared with any third party. *

Yes
No