Solihull Headteachers' Conference
Booking Form 
24th and 25th January 2019, Ardencote

Please complete and return to jawatts@solihull.gov.uk by Monday 17th December 2018.

We are delighted to be able to offer one free place to each school that contributed to Partnership Funds in 2017-2018.  For information about fees for additional delegates and schools that did not contribute to Partnership Funds, please see the list of fees on page two.  	

Delegate Name: 

	School: 
	
School contributed to Partnership Funds for the academic year 2017-2018	Yes / No
	
Residential Delegate  
I wish to attend the Heads’ Conference on a Residential Delegate Basis.  
	
This includes: Morning coffee, afternoon tea and lunch on both days, plus evening meal, overnight accommodation and full English breakfast on Friday, conference facilities and speakers.	
Yes / No

Day Delegate 
I wish to attend the Heads’ Conference on a Day Delegate Basis.  
Please indicate which day(s) you wish to attend.

This includes: Morning coffee, afternoon tea and lunch, conference facilities and speakers.	
Yes / No
Thu / Fri / Both	
Please provide details of any special requirements (including dietary):

	

Only to be completed where fees apply	
Order No: 

	Debit Code / Invoice Address:

	

Signed:………………………………………………            Date: ………………………….

Early booking is recommended as residential places are limited!
This is a firm booking, we will not be able to offer any refunds for cancellations or non-attendance.

Fee for schools that contributed to Partnership Funds in 2017-2018:
•	One free place per school on either a residential or day delegate basis.  

Fees for additional delegates:
•	Residential delegate: £390
•	Day delegate (one day): £150
•	Day delegate (two days): £250

Fees for schools that did not contribute to Partnership Funds in 2017-2018:
•	Residential delegate: £390
•	Day delegate (one day): £150
•	Day delegate (two days): £250