Book a course

Please read the terms and conditions before completing this booking form.

Please complete all of the fields marked with a *. When you click "send booking" the page will check that you have filled everything out. If you haven't, the booking will not send. Please re-check the page and then you can send the booking again.

Personal Details
Family name*:	Please enter your family / last name.
First name*:	Please enter your first name.
Address*:	Please enter your address.
Country*:	Please enter your country.
Your telephone numbers:	(home) (mobile)
Parents' telephone numbers*:	(home) Please give us your parents' home telephone number. (work) (mobile)
Fax number:
Your email address*:	Please enter your email address.Please enter a valid email address.
Parents' email address*:	Please enter your parents' email address.Please enter a valid email address.
Nationality*:	Please enter your nationality.
Sex*:	Please select male female Please select your sex.Please choose your sex.
Date of birth*:	Please enter your date of birth.Please enter in form dd/mm/yyyy.
Main language spoken*:	Please enter your main language.
Course details
Course*:	Please select a course English + Activities English + Sailing English + Theatre Studies
Course start date*:	Please select... Sunday 24th June 2012 Sunday 1st July 2012 Sunday 8th July 2012 Sunday 15th July 2012 Sunday 22nd July 2012 Sunday 29th July 2012 Sunday 5th August 2012 Please choose a start date.Please select an item.
Course end date*:	Please select... Saturday 7th July 2012 Saturday 14th July 2012 Saturday 21st July 2012 Saturday 28th July 2012 Saturday 4th August 2012 Saturday 11th August 2012 Saturday 18th August 2012 Please choose an end date.Please select an item.
Accommodation
Host family accommodation:	Please book a host family for me I do not need a family, I have arranged my own accommodation
Room type: double room is included in the price	double (shared) room single room (£25 supplement per week)
Arrival date: dd/mm/yyyy	DD/MM/YYYY.
Departure date: dd/mm/yyyy	DD/MM/YYYY.
If you are travelling with a friend and would like to share a room with your friend, please write your friend's name here:
Please tick if you need one of these special diets. There is an additional charge of £15 per week for these. It is important that you give us this information now.	vegetarian vegan diabetic lactose/gluten free Halal
If you have, or have recently had, any medical condition (physical or mental) which might affect your studies, or which your host family should know about, please give details:
If you have any special wishes regarding your accommodation (e.g. allergies, no dogs etc.), please give details:
Your school
How many years have you been learning English?*	How long have you been learning English?Numbers only please: e.g. 4.
Full name of your school:
Full address of your school:
Name of your English teacher:	Mr Mrs
Payment
I wish to pay*	by credit card by bank transfer How do you want to pay?
The following must be completed by your parent / guardian
First name and family name of parent / guardian*:	Please enter the full name of your parent / guardian.
Terms and conditions*:	I have read and agree to the terms and conditionsYou must accept the terms and conditions.
Please fill out all fields marked with a *.
Please check you have completed all fields with a * before clicking "send booking".