BOOKING FORM for 2017This electronic form will automatically download to our booking system when it is returned to us by email and we will use this information for name badges and all other Conference processing: so it is most important that you check all spellings and capitalisation.If you are unable to use this form on your computer please email us for different method of submitting the information.Each person coming to Conference must be booked on their own formWhen saving the form to return to us please use this format: "bookingformfirstname lastname.docx". Using the name of the person booked to attend.

PLEASE READ AND FOLLOW ALL THE INSTRUCTIONS

I HAVE READ AND ACCEPT THE TERMS AND CONDITIONS:

http://playworkconferences.org/TandC.html Yes

Details of person coming to Conference:Select and delete the text in the box and add the requested information. Please complete all sections or the form is not valid and will be returned to you. If there is no information to write in the box put 'n/a'First Name As it wll appear on your name badge Last Name As it wll appear on your name badgePlace of work As it wll appear on your name badge Job title / role      

Telephone       Mobile So we can send you texts and find you at Conference if we need to

Email We will be sending you information before Conference and we would like to get it to you directly

Address1       Address2      Address3       Town/City      County       Postcode      Any additional needs we need to know about [allergies, mobility etc]

Please tell us about any allergies, or any issues that may affect your engagement with Conference

I am a student and would like the student rate please not applicable

Details of what you are bookingEach box requires you to make a choice. Please choose either 'Full Package' [two full days at the Conference with non-stop refreshments and lunch; bed & breakfast Tuesday night/Wednesday morning and dinner and entertainment at the Annual Playwork Awards presentation.] or 'Day Delegate' [one day at Conference with refreshments and lunch] and if Day Delegate then mark the days you are attendingFull Package or Day Delegate make a choice Day rate

Tuesday make a selection Day rate Wednesday make a selection

Hotel and other requirementsMake the choice in each box. Full Package delegates have a shared Tuesday hotel included in the price. Indicate here if you require any extras. The extras are an additional cost. A shared room is £40 and a single supplement is an additional £10.00. If you are not choosing to have a single room then please tell us if you know who you would like to share with.Additional hotel room Monday

make a selection

Hotel room Tuesday

make a selection

Additional hotel room Wednesday

make a selection

Single room

make a selection Shared

room

make a selection Room share

preference

If you know who you want to share with please tell us their name. Or delete this text to leave this blank

I am a day delegate but would like to come to the Playwork Awards evening at an additional cost of £25

make a selection

This year we are putting all delegate names and place of work on to the Conference websiteSelect X from the drop down list if you don't want your name to be displayed

That's OK

InvoicingIf someone other than the delegate needs to receive the invoice or one invoice is to be produced for a group of delegates please fill in this section.

The invoice will be sent by email to the person indicated below. Conference confirmations will be sent to each person booked to attend using the details above. Person to send the invoice to       Number of delegates in

group      Organisation       Telephone       Email      Address1       Address2       Address

3      Town/City       County       Postcode      Purchase order number

     

When completed please return to bookings@playworkconference.org.uk

For Conference Office use onlyItem Unit

CostNumber Total

Full Package Cost £300            Day Rate Tuesday Cost £120            Day Rate Wednesday Cost £120            Additional Hotel Room Cost £40            Single Room Cost per night £10            Gala Dinner and Awards Cost £30