English Holiday School

Please complete and submit the registration form or download from here (MS Word format) and return by fax to: 0044 (0)20 8287 9372

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Student's surname
Forename
Nationality		Gender	Male Female
Date of birth
English ability
Student's interests
Attending school:	From /10	To /10
Accommodation wanted	Yes No

Father's/Mother's Name
Father's Occupation
Home address
Town
Post Code
Country
Telephone		Fax
E-mail

For students staying with a host family: from safety point of view, is your child allowed to go out unaccompanied after 9pm? Yes No (Note: Needs signing by parent or legal guardian)

Airport transfer
Is transfer from airport to the host family required?^(*) Yes No
Arrival date		Departure date
Arrival time		Departure time
Flight No		Flight No
Airport	Heathrow Gatwick
	Other airport:
Travelling as unaccompanied minor?^() Yes No ^() Conditions apply - See Airport transfer section of the registration form (supplied on request) for details Please note: a £50 charge applies for all students who travel as unaccompanied minors.

By submitting this form you acknowledge you have read the conditions under which EHS operates and agree to comply.