Summer School. Application Form for Brooke House College. Summer School ARRIVAL AND DEPARTURE DETAILS STUDENT DETAILS AGENT / REPRESENTATIVE DETAILS

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1 Summer School Application Form for Brooke House College Summer School ARRIVAL AND DEPARTURE DETAILS Arrival date: Departure Date: Do you require a transfer? YES NO (Flight details may be sent later, once the ticket is booked) ARRIVAL Flight Number: of Arrival: Airport/Station: DEPARTURE Flight Number: of Departure: Airport/Station: STUDENT DETAILS Surname: Date of Birth: Nationality: Student address: Do you require a visa to travel to UK? YES NO First name: Male or Female: Passport number: Student phone number: Do you need a visa? Do you have any special medical conditions or requirements? Please give details below: Do you have any special dietary requirements? Please give details below: How did you hear about the Brooke House College Summer School? AGENT / REPRESENTATIVE DETAILS If you have been referred to us through an agent or representative, please provide us with full details. Agent/Representative Company: Address: Telephone number: FAMILY DETAILS This will be the address used to post GESE or IELTS certificates. Please write clearly. Father s name: Mother s name: Home address*: Telephone: (Home) Telephone: (Business) Telephone: (Mobile)* *required for DHL delivery of certificates. Please tick which person should the certificate be addressed to. 1

2 COURSE AND ACCOMMODATION DETAILS STUDENT NAME For which course would you like to register? Please tick. (If selecting a combination of two or more courses, please indicate dates of each course on this form.) English Plus Activities English Plus British Culture IELTS Preparation English Plus (1st-29th July only) English Plus GCSE / A-level Taster English Plus Riding English Plus (29th July-26th August only) English Plus (15th July - 12th August only) IELTS Preparation Additional Information Students on the IELTS Preparation course will be entered for an IELTS examination in Cambridge taking place on Saturday 28th July and 11th & 25th August. The cost of the examination, including transport to Cambridge, is If you have registered for the IELTS Preparation course, please tick yes or no below to indicate whether or not you wish to be entered for the examination. YES NO Which type of accommodation would you prefer? Campus accommodation: Single room Twin room If twin room share with friend (write name here) or share with different nationality Homestay ENGLISH LANGUAGE LEVEL Number of years studying English If applicable, previous GESE / IELTS (*delete as appropriate): Grade Achieved Date of certification WEST END MUSICAL* (Optional Addition) Evening visit to a West End Musical including a pre-theatre dinner and transport by train to London. An additional charge of will be applied. I would like to visit a West End Musical (please tick below): Week beginning 2nd July Aladdin Week beginning 30th July School of Rock Week beginning 16th July Lion King Week beginning 13th August Wicked DECLARATION DEPOSIT (Included in the Course Fees) I enclose a cheque payable to Brooke House College for the sum of 200/ I am transferring to Brooke House College the sum of 200. I am aware of all terms and conditions. Parent/Guardian Signature Print Name Date Please complete pre-arrival paperwork at 2

3 SAMPLE SCHEDULE - 15 HOURS OF LESSONS WEEK 1 Monday Tuesday Wednesday Thursday Friday Saturday Sunday 09:15 10:45 English Graded English Speaking Exam (GESE) Course 11:00 12:30 English Graded English Speaking Exam (GESE) Course Market Harborough Orientation Harry Potter Studio Tour Swimming Raft Building London Sightseeing - Boat Trip, Walking Tour & (Oxford Street) Theme Park Wacky Races Mug Painting Capture the Flag Cookie Making Volleyball Field Games Harry Potter Movie Nail Painting Table Tournament Neon 22:30 Bed WEEK 2 Monday Tuesday Wednesday Thursday Friday Saturday Sunday 09:15 10:45 English Graded English Speaking Exam (GESE) Course 11:00 12:30 English Graded English Speaking Exam (GESE) Course GESE Speaking Test GESE Speaking Test Ice Skating Shakespeare s House & Stratford Upon Avon Swimming Leicester Shopping Cambridge & Punting Depart Staff vs Students Jenga Tournament Dodgeball Loom Bands Nukemball Crazy Challenges Danish Longball Hot Cross Buns Karaoke Zumba Silent 22:30 Bed 3

4 SAMPLE SCHEDULE - 27 HOURS OF LESSONS WEEK 1 Monday Tuesday Wednesday Thursday Friday Saturday Sunday 09:15 10:45 English Graded English Speaking Exam (GESE) Course IELTS Course 11:00 12:30 English Graded English Speaking Exam (GESE) Course IELTS Course Harry Potter Studio Tour London Sightseeing - Boat Trip, Walking Tour & (Oxford Street) Theme Park Wacky Races Bag Painting Capture the Flag Cookie Making Volleyball Field Games Harry Potter Movie Nail Painting Table Tournament Neon 22:30 Bed WEEK 2 Monday Tuesday Wednesday Thursday Friday Saturday Sunday 09:15 10:45 English Graded English Speaking Exam (GESE) Course (Exam on Friday) IELTS Course 11:00 12:30 English Graded English Speaking Exam (GESE) Course (Exam on Friday) IELTS Course Shakespeare s House & Stratford Upon Avon Cambridge & Punting IELTS Exam Depart Staff vs Students Darts Tournament Dodgeball Loom Bands Nukemball Crazy Challenges Danish Longball Hot Cross Buns Karaoke Zumba Silent 22:30 Bed 4

5 DATES & FEES SUMMER SCHOOL STARTS Sunday 1st July 2018 SUMMER SCHOOL ENDS Sunday 26th August 2018 LENGTH OF STAY The minimum length of stay is 2 weeks. The maximum stay is 8 weeks. WEEKLY FEES COURSE Campus Homestay English Plus Activities 900 1, Hours of English 27 Hours of English English Plus Riding 1,075 1,205 English Plus (1st July - 29th July 2018) 1,020 1,150 English Plus (15th July - 12th August 2018) 1,145 1,270 English Plus (29th July - 26th August 2018) 900 1,030 English Plus British Culture 950 1,080 English Plus GCSE Taster 950 1,080 English Plus A Level Taster 950 1,080 IELTS Preparation (One off optional IELTS examination ) 970 1,100 WEST END MUSICAL: An additional charge of 150 will be applied for students that register to join the optional evening visit to a West End Musical. The visit includes a pre-theatre dinner and transport to London by train. RETURN AIRPT & TRAIN STATION CHARGES London Heathrow Airport: London Stansted & Luton Airport: London Gatwick Airport: Birmingham & East Midlands Airport: London St Pancras Train Station: Market Harborough Train Station: UNACCOMPANIED MIN CHARGE An extra charge of will be applied where a student is registered on an unaccompanied minor service. This charge covers the requirement of airline policies to remain at the airport until the flight has taken off. COURIER CHARGES An extra charge of will be applied where registration documents are sent by courier. COURSE CHANGES CHARGE An extra charge of will be applied where course changes are requested. DETAILS F DIRECT BANK TRANSFER Account name: Brooke House College Address: Yorkshire Bank plc, 29 Horsefair Street, Leicester LE1 5BL, UK Account Number: Sort Code: Account reference: IBAN: GB56 YK BIC: YKGB

6 TERMS & CONDITIONS Deposit and Payment: The deposit is included in the total fees. This amount is 100% non-refundable except where a student fails in his application for a UK visa. Full fees payment is due four weeks before the beginning of the course. Cancellations: Fees (minus the deposit) are fully refundable in the case of cancellations made outside of the period 4 weeks before the beginning of the course. Fees are non-refundable in case of cancellations made within 4 weeks of the beginning of the course except where a student fails to obtain a visa. Refunds may be made at the discretion of the College in the event of serious illness, accident or death relating to the student or close family member before the start of or during the course. Liability: It shall be a condition of the contract between the parties that Brooke House College shall not be in any way liable for services contracted to supply where those services become impossible to supply owing to reasons beyond the control of Brooke House College. Course Changes: Brooke House College reserves the right to cancel or amend courses. In the event that the course for which a student has enrolled is cancelled then that student will be placed on an alternative course and/or offered a refund of all course fees. Expulsion: Parents are supplied with course rules upon enrolment. In the event that a student seriously breaches those rules, Brooke House reserves the right to summarily dismiss that student from the course without refund. It is the responsibility of the parents to arrange (either directly or via their representative) for the student to leave the college the same day. Leicester Road, Market Harborough, Leicestershire, LE16 7AU, England Telephone: +44 (0) , Facsimile: +44 (0)

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