JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BKA Foundation Course Worcester 2020 Booking Form
Saturday 29th February - Sunday 1st March 2020 (10am to 4pm each day)
Lyppard Grange Primary School, Ankerage Green, Worcester WR4 0DZ
Lunch and accommodation are not provided at this venue, however there is a large Tesco next door and we can advise accommodation options.
All charges include any applicable VAT and are quoted in pounds sterling; payment cannot be accepted in any other currency.
This form will be emailed to you on completion.
Any course questions, contact Lucinda Geoghegan on
education@kodaly.org.uk
or financial questions, contact John Oliver on
treasurer@kodaly.org.uk
To apply by post please download
http://kodaly.org.uk/wp-content/uploads/2020/01/BKA-Foundation-Course-Application-Form-2020-v2.doc
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Address
*
Your answer
Postcode
Your answer
Telephone
Your answer
Date of Birth (optional)
Your answer
Student Directory
A DIRECTORY of participants will be made available to all students attending the course. (The BKA does not disclose your details to any other organisation.) May we include the following: [Please tick as appropriate]
Name
Address
Email
Telephone
Video and Photography
*
Activities may be photographed or filmed for documentation, evaluation and promotion. Do you consent to being photographed/filmed?
Yes
No
Student
Are you a full time student? If so, please include your place of study
Your answer
Occupation
If you are a teacher, please specify Pre-School, Primary, Secondary, Instrumental or Further Education
Your answer
Dietary Requirements
Please state any dietary requirements.
Your answer
Medical and Accessibility Issues
Do you have any special needs, learning disabilities, medical requirements or any access issues, e.g. mobility, visual, aural, that we should know about? If so, please provide details here.
Your answer
Course Fees
*
NB: - Payment must be complete two weeks before the course. A deposit of £50 is required to secure your booking (not refundable if cancelled within two weeks of the course).
£125 - Fees for Module FC01 (in Worcester)
£250 - Fees for Module FC01 (in Worcester) & Module FC02 (in Monmouth or Nottingham)
FREE for Worcester residents - I will pay a £50 deposit, which will be refunded after the course
£125 - Worcester residents booking the free FC01 and chargeable FC02
Module FC02 Location
Only necessary if you're booking both modules together
Wed 15th - Thu 16th April 2020, Monmouth School, Wales
Wed 12th - Thu 13th August 2020, Nottingham University
Clear selection
Financial Assistance
Do you wish to pay by instalments or need to be considered, in confidence, for financial help?
Your answer
How do you wish to pay?
*
BACS: Account Name British Kodály Academy, Sort Code 30-94-77, Account Number 02703459, Reference: Your name. If you request a Paypal invoice you will receive it by email. To pay by credit or debit card please contact the BKA Treasurer on Tel: 024 7641 1269 or email
treasurer@kodaly.org.uk
£50 deposit by BACS
Full balance by BACS
£50 by Paypal Invoice
Full balance by Paypal Invoice
I will contact BKA Treasurer in order to pay by credit or debit card.
Other:
Agreement to Privacy Notice
*
Please ensure you have read the PRIVACY NOTICE found at
http://kodaly.org.uk/policies/
Yes
Required
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of British Kodály Academy.
Report Abuse
Forms
