Short Course Registration Form

Student

Date of birth*

Nationality*

Native language

Passport country of issue

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Passport number

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Passport expiry date

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Passport expiry date

Main parent

Relationship to student

Email*

Mobile number (including country code)*

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Landline

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Emergency

Course information

Earliest start date*

Latest start date*

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Duration of course

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Location of course

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Number of tuition hours per week (minimum)

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Number of tuition hours per week (maximum)

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Number of tuition hours per week

How long has your child been learning English?

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How long have you been learning English?

Budget per week for course and accommodation?*

Please provide more details about what you are looking for and your expectations for this experience.*

What would you like your child to achieve from the course? Are there any specific sports or activities they would like to do during the course?

Is there any additional information you would like us to know?

Please explain how you heard about us*

Email

This field is for validation purposes and should be left unchanged.

Short Course Application Form

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