The Bridport English School, Dorset, England

ENROLMENT FORM

Bridport School of English

Office: Vine Cottage, Chapel Street, Shipton Gorge, Bridport, Dorset, DT6 4LX, England

Tel: +44 (0) 01308 898796
Email: enquiries@bridportschoolofenglish.co.uk

www.bridportschoolofenglish.co.uk

HOW TO ENROL ON A COURSE

Choose your course and accommodation, complete the enrolment form and send it via the Internet so that we receive it immediately - you must then send a deposit of £100 and £58 student registration fee plus 2 passport-size photographs to Bridport School of English.

We will then send you confirmation of your enrolment and details of your accommodation. You will also receive an invoice for the balance of your course fee, information on insurance and what to bring with you etc.

CONDITIONS OF REGISTRATION

Total course fee is to be paid 30 days before arrival. For bookings received less than 30 days before arrival, full payment must be made immediately upon receipt of invoice; accommodation cannot be booked until the fee is received.
The £100 deposit AND £58 student registration fee is non-refundable.
Students curtailing their course, or changing to a course with a lower fee, will not be entitled to a refund. Students are advised to arrange insurance against cancellation or curtailment.
Full information on medical conditions and special diets must be disclosed at time of booking, and updated prior to arrival, or accommodation cannot be guaranteed.

Payment must be by one of the following methods:

Electronic Transfer from a bank in your country to our account using the following codes:
IBAN code: GB49MIDL40132851431323
BIC code: MIDLGB2121R
All charges paid by student.
A sterling cheque drawn on a UK bank.
Credit card.
Cash or travellers cheques by special arrangement only.

Please state invoice number on payment documents.

The school reserves the right to expel any student without notice or refund should that student fail to comply with acceptable standards of behaviour set by the Bridport School of English.

You must complete the fields marked with an *

PERSONAL DETAILS

First Name*:

Second Name*:

Address*:

Town/City*:

PostalZip Code*:

Country*:

Tel*:

Fax:

Email*:

Date of Birth*:

Male: Female:

Nationality*:

First Language*:

Passport Number:

Allergies?

Smoker: Non-Smoker:

For completion by parent/guardian of all students under 18 years

Does your child have any health problems?

Allergies?

Asthma?

Other?

Special dietary requirements?

Currently prescribed medicine?

Name and address of Parent/Guardian during the course in case of emergency:

Tel:

Fax:

*Beginners MUST check with the school before booking, as group classes at this level are rare and students may have to have one-to-one lessons. Extra fees will be charged if the entry test shows that a student is a beginner and there is no group class available.

I give permission for my child to attend all activities organised by the School and I agree that my child will comply with the School's regulations and English law. I also give the School permission to act on my behalf when dealing with a medical emergency.

I give permission

Signature:__________________________________________

COURSE DETAILS*

COURSES

Junior General English (8-11 years)
Teenage General English (12-17 years)
Adult General English
Group Tailor Made English
One to One English
Combination - Group and One to One English

One-to-one tuition: How many lessons per week? 10 hours 15 hours 20 hours 25 hours

ACCOMMODATION

Homestay Single Room
Homestay Twin Room
Hotel
Bed and Breakfast

LEVEL OF ENGLISH*

Beginner		Elementary
Lower Intermediate		Intermediate
Upper Intermediate		Advanced

COURSE DATES*

Start:

Finish:

TRANSPORT

Do you require transfer to or from an airport:

Yes No

Please give details below

Do you require an airport check-in escort for an unaccompanied minor? Yes No

Transfers
Prices for single journeys for one person:

London Heathrow Airport/Bridport £90
London Gatwick Airport /Bridport £90
Bournemouth Airport / Bridport £40
Southampton Airport /Bridport £40
Bristol Airport/Bridport £70
Exeter Airport/Bridport £40

Transfer escort service for student- extra £30 for single journey
Airport check-in escort service for an unaccompanied minor - extra £40 for single journey

Reduction for 2 or 3 persons travelling together (see prices page)

Arrival:
From:

To:

Departure:
From:

To:

All enrolments*:

Arrival:

Date:

:Place:

Time and Flight No:

Departure:

Date:

Place:

Time and Flight No:

Making your own transport arrangements:

Arrival: Departure:
Estimated time of arrival in Bridport:

MEDICAL/SPECIAL REQUIREMENTS

Please state below any special dietary needs or any medical or personal conditions that we should know about. Please give details and we will tell you if there is an extra charge. All information will be kept completely confidential.

Do you have asthma ? YES NO

Do you have an inhaler? YES NO

Do you have medication ? YES NO

Do you have any allergies (e.g. to foods, animals, medicines)?

Do you have any medical conditions ?

Please give full details, including any medication you are taking

ALL PERSONAL INFORMATION WILL BE HELD IN COMPLETE CONFIDENCE.

ONLY THOSE STAFF NEED THE INFORMATION FOR YOUR SAFETY WILL BE TOLD.

If you have any allergies, asthma, medical condition, take any medication or are undergoing medical treatment however temporary, you must complete the Medical/Special Diets from. Please see "Conditions of Registration".

If you are vegetarian, vegan, or have other special diets, please complete the Medical/Special Deits form which lists additional charges. Please see "Conditions of Registration".

I give permission for my child to attend all activities organised by the School and I agree that my child will comply with the School\'s regulations and English law.

I give the School permission to act on my behalf when dealing with a medical emergency and agree to pay all fees incurred.

I will send details later

Bridport School of English is an independent language school in the west of England.

Office Address: Vine Cottage, Chapel Street, Shipton Gorge, Bridport, Dorset, England, DT6 4LX
Telephone: +441308 898796 (International), 01308 898796 (UK)
Email: enquiries@bridportschoolofenglish.co.uk