AAA “FABRE VIEUX”
Entry Form 2015
(4 pages)

2 to 9 mai 2015			Workshop : Making Theatre from Light Design
					Tom Willems and Thomas Brand

Note: When you register jointly and share the accommodation with other participants, yet each one has to fill in this Form separately.

Name			------------------------------------------------------------------------------------------------------

Male – Female 	

Age and date of birth: --- --- / --- --- / --- --- --- ---
Address:

Street and number:	------------------------------------------------------------------------------------------------------

Postal code + place:	------------------------------------------------------------------------------------------------------

Country:		------------------------------------------------------------------------------------------------------

Telephone:		------------------------------------------------------------------------------------------------------

Cell phone:		------------------------------------------------------------------------------------------------------

e-mail address:	------------------------------------------------------------------------------------------------------

Position – Profession – Job-----------------------------------------------------------------------------------------------

Employer:		------------------------------------------------------------------------------------------------------

Students:
To receive the students fee, please fill in the following details

Study / Course :		--------------------------------------------------------------------------------------------

Name School / Institute / university: ---------------------------------------------------------------------------------------

Your student registration number: ------------------------------------------------------------------------------------------

Fabre Vieux – Website: www.fabrevieux.nl-mariap@knoware.nl of fabrevieux@gmail.com 
Tel: 0033.565217089.of 00.31(0)620963942 of 00.31(0)6.55757300
Banque Populaire IBAN FR7617807008409531975880427 - BIC CCBPFRPPTLS of Association “AAA Fabre Vieux” 46170 Pern FR 
ING Bank IBAN NL23INGB0001180484 - BIC INGBNL2A of Maria P. van Bakelen- Callantsoog  NL 

- entry form page 1 –
Name: 			--------------------------------------------------------------------------------------------

CHOICE ACCOMMODATIONS

Indicate your preference for one of the accommodations. See the schedule below.
The prices below include the workshop, meals, overnight stay and use of the swimming pool. Only for drinks out of the meals (juice, beer and wine) you have to pay yourself.

You prefer to register for the workshop only without stay overnight? That’s possible for 400 €; student pay 300 €, including breakfast, lunch and dinner. 

Students can receive a discount of 100 € on the total price. 
Early bird discount of 10 % discount is granted when you register before 1 March.

Indicate your preference by ticking your choice:
A. Bakery House (Fournil)		1 p   € 975,- p.p.	□
2 p   € 755,- p.p. 	□
3 p   € 675,- p.p.	□
4 p   € 625,- p.p.	□

B. Gȋte Lavender or Oleander	1 p   € 820,- p.p.	□
2 p   € 665,- p.p. 	□
3 p   € 610,- p.p.	□
4 p   € 625,- p.p.	□

C. Dormitory 		        € 550,- p.p.	□

D. Caravan	1 p   € 660,- p.p.	□
2 p   € 580,- p.p.	□

E. your own tent 	1 p   € 520,- p.p.	□
2 p   € 490,- p.p. 	□

F. your own caravan / camper	1 p   € 555,- p.p.	□
2 p   € 515,- p.p. 	□
□ I register jointly and share the indicated accommodation with the following participants : 

Nom:		---------------------------------------------------------------------------------------------------------------------------

Nom:		---------------------------------------------------------------------------------------------------------------------------

Nom:		---------------------------------------------------------------------------------------------------------------------------

Note: When you register jointly and share the accommodation with other participants, yet each one has to fill in this Form separately.

□ I accept to share the indicated accommodation with other participants. 
(Only applicable for the Bakery house and a Gȋte).

DISCOUNT:
□ I register before the early bird date of 1 March 2015, so I receive 10 %  discount.

□ I’m a student and thus receive the student’s discount of 100 € on the total price.

ATTENTION: these discounts cannot be combined.

Fabre Vieux – Website: www.fabrevieux.nl-mariap@knoware.nl of fabrevieux@gmail.com 
Tel: 0033.565217089.of 00.31(0)620963942 of 00.31(0)6.55757300
Banque Populaire IBAN FR7617807008409531975880427 - BIC CCBPFRPPTLS of Association “AAA Fabre Vieux” 46170 Pern FR 
ING Bank IBAN NL23INGB0001180484 - BIC INGBNL2A of Maria P. van Bakelen- Callantsoog  NL 

- entry form page 2 –

Name: 			--------------------------------------------------------------------------------------------

C. Payment and insurance

After we have received your Entry Form, we’ll send a confirmation and the invoice for the total amount with the bank details.
In case the accommodation of your preference is not anymore available, we’ll contact you to find together another good solution. 

The invoice has to be paid within 10 days after the receipt.

The workshop takes place with a minimum number of 8 participants. You will be informed the latest on 31 of March.

Cancellation of the reservation with full restitution is possible till 15 March 2015 with deduction of 50 € for administrative costs.

Insurance:
By registering yourself, you accept the membership of our association AAA “Fabre Vieux” and will therefore be collectively ensured (via MAIF) against eventual injuries, damage, accidents and legal liability during your stay at Fabre Vieux for the workshops. 
You need to take care yourself for insurance for travelling and health.

By signing this entry form you accept the “Rules for workshops participants. 
See the text of these Rules on the next page, page 4.

Signature:

Date and Place:

Fabre Vieux – Website: www.fabrevieux.nl-mariap@knoware.nl of fabrevieux@gmail.com 
Tel: 0033.565217089.of 00.31(0)620963942 of 00.31(0)6.55757300
Banque Populaire IBAN FR7617807008409531975880427 - BIC CCBPFRPPTLS of Association “AAA Fabre Vieux” 46170 Pern FR 
ING Bank IBAN NL23INGB0001180484 - BIC INGBNL2A of Maria P. van Bakelen- Callantsoog  NL 
- entry form page 3 –

Code of conduct for workshop participants
Every year AAA Fabre Vieux organise a number of interdisciplinary workshops; we try to lend these workshops an intercultural character by attracting participants from various countries and different cultural backgrounds. In order for the workshops to succeed and for the participants to have a pleasant stay in a fine atmosphere on Fabre Vieux, we believe it is necessary and helpful to state an agreement conveying participants’ code of conduct and responsibilities.

Our intention in this code of conduct is a positive one: observing the limits and framework of this code will enable the participants to enhance the unique experience of these workshops and to fully enjoy them, both as individuals and as group members. 

Code of conduct
In communicating with other workshop participants, common rules of courtesy and decency must be observed. In view of the participants’ diverse cultural background and experience,  such values as sincerity, respect and flexibility are highly appreciated. In order to fully participate in the workshop activities, energy, theatre and art discipline, full effort and cooperation are demanded; this implies that participants must observe the workshops’ starting times, and make and observe agreements with teachers and fellow-participants.

In order to fully participate in the workshop, it is also advisable to limit the use of alcohol to the occasional glass of beer or wine; the use of alcohol by minors is forbidden.

Any form of misconduct, annoyance or irresponsible behaviour may lead to denying participant’s  admission to the workshops and premises of  AAA Fabre Vieux. In case of minors being involved,  parents/guardians will be informed by the host and hostess. Any extra financial costs will be on the participant’s, or his/ her parents/guardians account.
We would like to point out that France has a very severe and strict legislation as far as the use, of drugs, or even possessing the smallest amount of drugs, are concerned. In case of any participant committing a legal offence according to French law, especially in case of drug abuse or any criminal offence, the host and hostess will be bound by French legislation; they will accordingly inform parents/guardians. Any legal consequence will be to the account of the participant involved, or his/her legal representative.

Environment
Fabre Vieux is situated in a vulnerable rural area of exceptional scenic beauty. Therefore all participants are urgently requested 
•	not to disturb the local flora and fauna (with deer, hares, foxes and sometimes even wild boars);
•	to only dump the refuse on the intended sites;
•	to only use the available natural material for workshop purposes after consulting workshop leaders and host and hostess of Fabre Vieux;
May we remind you that lighting an open fire in this area can be extremely dangerous, especially during hot, dry summer weather; the authorities are likely to officially prohibit campfires during periods of extreme drought. We therefore urge you to only light campfires in the appropriate fireplace after consulting host and hostess and only with their cooperation. The issues of smoking and having a barbecue can be agreed upon with host and hostess on the spot

We wish you a very pleasant stay at Fabre Vieux!

Maria van Bakelen - Artistic leader and owner of the property
Wilbert van der Post – Host 

You accept this code of conduct by signing the Entry Form for the workshops

- entry form page 4 –