Entry Form for Creative Writing 2012

Wednesday 14th - Saturday 24th March 2012

Closing date for entries: Wednesday 18th January 2012

Please complete all fields marked with an *

Contact Details

Person to whom correspondence should be addressed *

Please indicate *

Name *

Address *

Address

City *

Postcode *

Telephone *

Email *

Entry

 


Name (s) *

No. in
group

Date of Birth
(dd/mm/yyyy)


Class No.


Class Name *


Fee (£) *

Special
Needs

Total payment required (£)

Payment may be made electronically quoting ref CW2012 and name of entrant/school or by cheque.

Please indicate *

Bacs

Cheque

Bacs Clearing Bank Number 60-02-05. Account Number 59342072.

Cheques should be made payable to Mid-Somerset Festival and sent to Jane Riekemann. 20 Penn Lea Rd, Weston. Bath. BA1 3RA within 5 working days

Entries will not be processed until fees are received.

Confirmation of receipt will be sent via email.

Agreement

I have read and agree to abide by the General Rules and Creative Writing Rules contained in the current syllabus. *

I have read and understood the Child Protection Policy *