English and Sport

Student Surname: *

First Name: *

Date of Birth: *

Gender: *

Female
Male

Tel/Mobile No.: *

Address: *

Country: *

Email: *

Occupation: *

Arrival Details: *

No. Weeks Requested: *

Arrival Date: *

Arrival Flight No. & Time: *

Departure Date: *

Departure Flight No. & Time: *

How long have you been studying English? *

Estimate Present Level or Equivalent Council of Europe Level: *

Have you taken any English examinations in your own country? *

Yes
No

Please give details of these Examinations: *

Please indicate Accomodation type: *

Do you require an airport transfer service? *

Yes
No

Which transfer service do you require? *

Arrival
Departure

Does your child suffer from any known medical condition (diabetes, asthma etc.) ?

Yes
No

Please state known condition(s): *

Does your child suffer from any known allergies?

Yes
No

Please state known allergies: *

If there is any other medical information relevant to your child please state here:

If there are any dietary requirements relevant to your child please state here:

Course Date: 29th June - 6th July

Location:

Course Options:

Sports Preference:

Course Date: 6th July - 13th July

Location:

Course Options:

Sports Preference:

Course Date: 13th July - 20th July

Location:

Course Options:

Sports Preference:

Course Date: 20th July - 27th July

Location:

Course Options:

Sports Preference:

Course Date: 27th July - 3rd August

Location:

Course Options:

Sports Preference:

Course Date: 4th-11th August

Location:

Course Options:

Sports Preference:

Course Date : 11th-18th August

Location:

Course Options:

Sports Preference:

I agree to the Terms & Conditions of English and Sport. *

English and Sport

Learn English. Play Sport. Boys and Girls aged 11-19

Booking Form

To be Completed By Parent / Guardian

Please select the dates that you are interested in and you will be presented with the relevant options.

Please Note: