BOOKING FORM

Jimmy’s Festival – 23rd & 24th July 2016
YOU MUST BOOK IN ADVANCE
Please complete and return this form to book your place.

NAMES OF PEOPLE ATTENDING
Name 1: / Name 3:
Deaf o Hearing o HoH o / Deaf o Hearing o HoH o
Name 2: / Name 4:
Deaf o Hearing o HoH o / Deaf o Hearing o HoH o
CONTACT DETAILS FOR BOOKING*
*Full Name: / Deaf o Hearing o
*Address:
*Mobile/SMS:
Telephone:
*Email Address:
Are you already registered with RAD? / Yes o No o

* Please ensure you include your full name, contact number and postal address so we are able to process and send you your ticket(s).

Ticket Type / Prices / Qty / Ticket Type / Prices / Qty
Under 2 years old Saturday / Free / Adult Sunday / £18.75
Child Saturday / £13.00 / Family Sunday (2 adults and 2 children) / £60.00
Adult Saturday / £18.75 / Under 2 yrs old weekend / Free
Family Saturday (2 adults and 2 children) / £60.00 / Child Weekend / £22.50
Under 2 years old Sunday / Free / Adult Weekend / £35.60
Child Sunday / £13.00 / Family Weekend / £105.00

*Tickets do not include: camping, refreshments or workshops.

Residential Tickets Type / Prices / Qty / Residential Tickets Type / Prices / Qty
Child Camping & Festival (This ticket is for 3 nights camping) / £42.50 / Large Campervan – Larger than 7.5m / £225
Adult Camping & Festival (This ticket is for 3 nights camping) / £75.50 / Small Campervan – smaller than 7.5m / £115
Family Camping & Festival (2 Adults and 2 Children) / £235
PAYMENT DETAILS
Total: / A cheque payable to “RAD” should be posted with this booking form to:
CFT Service
RAD Head Office
Century House South, Riverside Office Centre,
North Station Road, Colchester, Essex CO1 1RE
Cheque o Bank Transfer o
Bank transfer details:
(Please fill in the below) / 50–41–10
91334829
Reference: [Event and Date]
Example: [Jimmy 23-7-16]
Date of transfer:
Name of Account holder:
For office use only: Received:
Cheque o Cash o Bank Transfer o
Total Cost £______
Signed by:______Print:______Date:______
Consent / Terms and Conditions
(For participants aged under 18yrs old, parental consent is required)
·  I understand that the Royal Association for Deaf People is not responsible for Jimmy’s Farm Harvest Festival and associated activities.
·  The Festival remains the responsibility of Jimmy’s Farm, RAD are working in conjunction to offer a reduced rate for registered clients.
·  I understand that tickets bought will come directly from Jimmy’s Farm, any issues related to tickets will not be the responsibility of RAD.
Signature:
NAME IN CAPITALS:
Date:
·  I give permission that any photography of/ quotations from people included in this booking may be used to further promote RAD projects and services.
Signature:
NAME IN CAPITALS:
Date: