Cara Jane Autumn Workshops 2017 Booking Form Cara Jane Autumn Workshops 2017 Booking form to attend polymer clay workshops in Bristol with Cara Jane in October 2017 Name* First Last Email* Enter Email Confirm Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Your contact phone number*It's useful if you give a mobile number so we can contact you during the weekend should the need ariseEmergency Contact Name*Meal on SaturdayI would be interested in a group meal on Saturday nightI do not wish to join the group mealWe will arrange a meal out within walking distance of the hotel on Saturday night. Details of times and prices will be sent nearer the time. Emergency Contact Telephone Number* Polymer clay for the workshops will be provided. Included in the price are refreshments throughout the day and a hot and cold three course buffet lunch in the hotel restuarant.Which workshops would you like to attend*Wonderful Wood on Saturday 14th October only - £85Kimono Curl Pendant on Sunday 15th October only - £85Both days at the discounted rate of £160Once your form has been received you will be sent payment details by email to the email address given on the form. Payment can be made by bank transfer or cheque. If you wish to pay by instalments or another payment method please ask. Returning this form will reserve a space for you at the event but your participation at the event is only confirmed once payment has been received.Type your name here to sign the form*Date* Accommodation Accommodation is not included in the workshop price. To book with the hotel call 0117 9689 867 between 08:00-18:30 quoting 'Cara Jane' for a bed and breakfast rate of £80 on Friday night and £115 on Saturday night. You are welcome to make your own accommodation arrangements.Important*By completing this form you acknowledge that you attend the event at your own risk. The organisers of this workshop cannot be held liable for transport delays, non attendance, personal accidents or loss of property. We will hold your registration details electronically, they will only be used for the event or to contact you regarding future events by the organisers (you may opt out of this information at any time after the event) and shall not be passed on to third parties. We reserve the right to make changes to the programme in the event of circumstances beyond our control. Tick here to confirm you have read and accept the above PhoneThis field is for validation purposes and should be left unchanged.