3 Day Godly Play
Storyteller / Door Person Core Module Booking Form
(Long Days)
Location: Ampleforth Abbey, North Yorkshire YO62 4ER
Led by Rebecca Nye and Kate Cornwell
Dates: …… 18th - 20th October 2016…………
Godly Play Three Day Courses begin at 9.00 a.m. each day
and finish at 9.00 p.m. for evenings 1&2.
On the last day the course ends @ 5.30pm
FEES
Residential courses: £410 - includes training and full board.
(B&B available for extra night before the course.)
To check availability, or more info etc. you can email:
Sheila Rogers sheila.rogers@talktalk.net
Non-residential courses: £390 - includes training and meals
(NB due to the excellent rate offered at Ampleforth for residential bookings, the reduction for NON- residents
for this course is minimal)
The course fee includes handouts, lunches and morning/afternoon refreshments for
each delegate.
Details about the course/ venues/ timings etc. will be sent out a few weeks before the
course.
Delegate 1
Title:
Address:
First name:
Surname:
First name:
Surname:
First name:
Surname:
Postcode:
Tel.
Email:
Delegate 2
Title:
Address:
Postcode:
Tel.
Email:
Delegate 3
Title:
Address:
Postcode:
Tel.
Email:
Delegate’s Company / Church / School Details
Invoice Contact (if applicable)
Address:
Postcode:
Tel.
Email:
3 Day Godly Play
Storyteller / Door Person Core Module Booking Form
(Long Days)
SECTION 2: DIETARY / OTHER REQUIREMENTS
Please detail below any delegates who have special dietary requirements.
(Specify who if multiple application)
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SECTION 3: ALTERNATIVE METHODS OF PAYMENT
Cheque
Please make cheques payable to Godly Play UK
Invoice
Invoice Ref/Purchase Order No: .....................................
Date: ................................
BACS
Bank name: CAF Bank (Christian Aid Foundation)
Sort code: 40-52-40
Account no: 00024691
Account name: Godly Play UK
SECTION 4: TERMS AND CONDITIONS
Fees
Invoices issued must be paid within 30 days of the invoice date.
Cancellations
A £25 administration fee will be charged for cancellations made up to ten weeks prior to
the start of the course. Cancellations thereafter will be liable to the loss of the full fee.
Substitutions may be made at any time prior to the start of the course.
Please note that on rare occasions, due to low numbers, courses are cancelled at late
notice. Godly Play UK cannot be held responsible for any loss incurred by individuals as a
result of us having to cancel an event although the full course fee will be returned.
SECTION 5: HOW DID YOU FIND OUT ABOUT THIS COURSE?
Godly Play website / Other website (please specify)........................
Email Publication (please specify) ......................................
Recommendation ............................................................
Other (please specify) .................................................................
SECTION 6: SIGNATURE
I wish to book the delegate(s) on the course(s) detailed above. I have read and accept
the booking terms and conditions in Section 4.
Print Name: ................................
Signature: .......................................
Date: .............
SECTION 7: Data Protection
By signing this part of the form you agree to your details being held on the Godly Play database to
inform and update you on events that might be of interest to you. We will not disclose this
information to any third parties.
□
Please tick box if you do not wish your details to be held
3 Day Godly Play
Storyteller / Door Person Core Module Booking Form
(Long Days)
PLEASE SEND FULL FEES WITH YOUR BOOKING FORM TO:Sheila Rogers (GP Admin.)
18 Waring Way
Dunchurch
Rugby
Warwickshire
CV22 6PH
Do you wish to be residential?
(£410)
Include ensuite bedroom???
(extra £11)
Non - residential?
(£390)
Include B&B the night before the course?
extra £36.00 (standard room) £41.50 (en-suite)
Would you like to give a donation to Godly Play UK*?
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I enclose a total fee of £………………
* Godly Play UK is a registered charity (no.1116846). Your donation will assist with bursaries for
those in financial need and contribute to the development of Godly Play throughout the UK.
Gift Aid declaration – Godly Play UK
Please treat
□
The enclosed gift of £ ----------------------------- as a Gift Aid donation;
OR
□
All gifts of money that I make today and in the future as Gift Aid donations; OR
□
All future gifts of money that I make from the date of this declaration as Gift Aid donations.
Please tick the appropriate box
I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax
year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community
Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year.
I understand that other taxes such as VAT and Council Tax do not qualify.
I understand the charity will reclaim 25p of tax on every £1 that I have given.
Donor’s details (If different from those given on page 1)
Title --------- Initial(s) ------------ Surname --------------------------------------------------------Home address ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Postcode ---------------------------------- Date ------------------------------------------------------Signature ---------------------------------------------------------------Please notify Godly Play if you:



Want to cancel this declaration
Change your name or home address
No longer pay sufficient tax on your income and/or capital gains.
Tax claimed by Godly Play
• Godly Play will reclaim 25p of tax on every £1 you give on or after 6 April 2011.
If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you
must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to
adjust your tax code.