AAA “FABRE VIEUX”
Entry Form 2012
(2 pages)
Name------
Male – Female (encircle)
Student – no student(encircle)
Age and date of birth:------
Address
Street and number:------
Postal code + place:------
Country:------
Telephone:------
Cell phone:------
e-mail address:------
- wants to participate in the following workshop(s) (tick here below where appropriate)
[ ] 29 July – 05 August 2012Clown and Mask
by Jessica Raynal and Loïc Bayle
[] 29 July – 05 August 2012Making sculptures
parallel to Clown and Mask:Working with clay, stone or wood
Pim Knaup and Peer Besselink
Workshop fee: € 300
Student’s fee€ 200
Fill in: the total amount of workshop fees is:€
Fabre Vieux – 46170 PERN, Frankrijk - Maria P. van Bakelen
Website: e-mails: or
Tel. 28 April – 31 October: 00.33.565.21.7089 or mobile: 00.31.6.20963942
Tel. 1 November – 27 April: 00.31(0)224.584420 or mobile: 06.20963942
Address in the Netherlands: Buitenplaats - Abbestederweg 26B-20 -- 1759 NB Callantsoog
ING Bank account number 1180484 of Maria P. van Bakelen in Callantsoog, the Netherlands
IBAN NL23INGB0001180484 - BIC = INGBNL2A OR
Banque Populaire (French Bank) account number 95319758804 of Association AAA Fabre Vieux in Pern, France
IBAN = FR7617807008409531975880427 - BIC = CCBPFRPPTLS
- entry form page 1 –
Name: ------
B. indicates 1st and 2nd preference for the following sorts of accommodations:
Fill in 1st and 2nd preference below under A to F.
See for a description of the various sorts of accommodation under ‘More information on Workshop Accommodation’.
Sort Number of people per room Price pp for 7 days
A. Low Part: ground floor2 persons€ 150 pp
1 person € 250 pp
B. Low Part: 1st floor2 persons€ 210 pp
3 persons€ 156 pp
4 persons€ 125 pp
5 persons€ 100 pp
6 persons€ 75 pp
C1 et C2. Apartment / ‘grange’2 persons€ 175 pp
3 persons€ 140 pp
4 persons€ 100 pp
D. Bakery Apartment2 persons€ 270 pp
3 persons€ 210 pp
4 persons€ 160 pp
E. Rent full equipped caravan2 persons€ 105 pp
3 persons€ 84 pp
F1 Own Tent. per person€ 54 pp
F2. Own Caravanper person€ 90 pp
Encircle 1e preferenceFill in:
A – B – C1 – C2 - D – E – F1 – F2€ ……
Encircle 2e preferenceFill in:
A – B – C1 – C2 - D – E – F1 – F2€ ……
For calculation sum total:
Add:
A. course fee€ €
B. price charged for accommodation1e preference 2e preference
€ €
C. rent of sheets and towels €15 per week€ €
D. enlisting for joint dinner for …days per week (€18 a day)€ €
Due amount:€ or €
To be paid into ING Bank in the Netherlands, account nr 1180484 in the name of Maria P. van Bakelen in Callantsoog, the Netherlands or to the Banque Populaire in France, account nr 95319758804 of Association AAA Fabre Vieux in Pern in France.
For IBAN and BIC numbers: see the details in the frame on the bottom of this page.
A 50 € deposit is immediately due when enlisting. The remaining amount should be paid before 1 June 2012. Cancellation of the reservation with restitution is possible till 1 June 2012 after deduction of 50 € for administrative costs.
By registering you accept the membership of the association AAA “Fabre Vieux” and will therefore be collectively ensured (via MAIF) against eventual injuries during the workshops. By signing this entry form you agree with the “Rules for workshops participants”. See the next page for these Rules.
Signature:
Place and Date:
Fabre Vieux – 46170 PERN, Frankrijk - Maria P. van Bakelen
Website: e-mails: or
Tel. 28 April – 31 October: 00.33.565.21.7089 or mobile: 00.31.6.20963942
Tel. 1 November – 27 April: 00.31(0)224.584420 or mobile: 06.20963942
Address in the Netherlands: Buitenplaats - Abbestederweg 26B-20 -- 1759 NB Callantsoog
ING Bank account number 1180484 of Maria P. van Bakelen in Callantsoog, the Netherlands
IBAN NL23INGB0001180484 - BIC = INGBNL2A OR
Banque Populaire (French Bank) account number 95319758804 of Association AAA Fabre Vieux in Pern, France
IBAN = FR7617807008409531975880427 - BIC = CCBPFRPPTLS
- entry form page 2 –
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
You accept this code of conduct by signing the entry form for the workshops