Pyrites Summer Craft Camp Application form 2012

Please send the Deposit and final payment to:

Bernard Graves
Mayfield
11 Bisley Road
Stroud
GLOS GL5 1HE

Telephone/Fax:
01453 767208

Email:
info(at)pyrites.org

NOTE: please replace the (at) with the @ symbol

DEPOSITS ARE NON REFUNDABLE

Note: The crèche facility will only be offered if we have sufficient applications in advance. Parents should note that the crèche will be available during the mornings only.

Registration to a workshop of your choice is made following introductions by the Tutors on Sunday after supper.

List names of Adults - separated by commas: *

I/we would like to reserve a place for numer of adults: *

number of children:

List Child/childrens Names - separated by commas:

Child/Childens age separated by comers:

Crèche for children upto the age of 5 If you would like to reserve a place on a regular basis in the crèche please state bellow.

number of childeren requring crèche:

age of child requiring crèche:

Number of people with special requirements e.g. Vegan:

Meat:

Address: *

Telephone: *

I will post a deposit of £100 cheques should be made out to Pyrites Craft Camp NB: I understand that the final payment is due by the 1st June: *

yes

On receipt of application, conformation of your booking will be sent to your email address. Your Email:

Due to difficulties at previous craft camps, we apologies that the camp can not continue to accommodate dogs

Security: *

Please insert the letters and numbers shown in the image