SUMMER SCHOOL 2017 presented by

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SUMMER SCHOOL 2017 presented by Arrival: Saturday 23th July 2017 between 14.00 and 18.00 hrs Departure: Sunday 5th August after 11.00 hrs Application for a place in the Summer School: Personal Details of the Pupil: Pupil s Surname: Pupil s Christian Name: Parents/Guardians: Father s Name: Profession: Mother s Name: Profession: Legal Guardian: Both Parents Mother Father House Name/Number: Street: Post Code: Town: Tel. (priv.): / Tel. (work): / Fax: / Mobile: E-Mail Address: Address during holidays if different: If unavailable, please contact: Further Details about the pupil: Does your child suffer from an allergy or other illnesses: yes no If yes, please give details: School: Current School: Address: Currently in class: Type of school:

Summer School Subject: Our Child would like to do the following subject in the Summer School: MATHS GERMAN GERMAN for non-native speakers DYSLEXIC TRAINING a 2 + b 2 = c 2 Ich lerne Deutsch! ENGLISH FRENCH SPANISH LATIN Z S P r a B t W Please write your 1 next to the chosen subject and 2 next to the reserve subject, which he/she would like to take if the class is already full or will not take place if there is not enough interest. Please complete the attached questionnaire to help us meet the needs of your son/daughter in his/her chosen subject. I/We would also like to book private lessons in the following subject: Summer School Afternoon Activity: Please write 1 next to the chosen activity and 2 next to the reserve activity, which he/she would like to take if the group is already full or will not take place if there is not enough interest. Our child has chosen the following activity: GOLF Beginners GOLF Handicap TENNIS Beginners TENNIS Advanced FUNSPORTS FOOTBALL + 380 Euro + 380 Euro HCP: + 220 Euro + 220 Euro + 250 Euro + 100 Euro RIDING Beginners RIDING Advanced FENCING Age: ADVENTURE LEADERSHIP TRAINING LEGO MINDSTORMS + 250 Euro + 250 Euro kostenlos + 140 Euro + 150 Euro + 120 Euro BAND ARTS CIRCUS FASHION DESIGN JUST FOR GIRLS SCIENCE kostenlos + 200 Euro kostenlos + 150 Euro + 120 Euro kostenlos Information about the activities can be found at: www.my-summerschool.de

Pocket Money: During the Summer School we set up an account for your child. Your child can collect pocket money from this account every day or pay for any extra activities. Please pay a sum into the account when you register your child at the beginning of the Summer School. The balance will be returned at the end of the Summer School. Swimming - Please complete the following: My/our child can swim and I hereby give permission for him/her to visit the local swimming pool. I am aware that apart from the lifeguard there may be no other adult supervision. Illness: My/our child is insured with: In the case of illness or injury we are in agreement that my/our child can be seen by an appropriate Doctor recommended by the Kurpfalz Internat. Marketing: Please complete the following: How did you find out about the Summer School? An advertisement in the following newspaper/magazine: Following Internet Site: Recommended by : I / We have read, understood and accept the attached terms and conditions: Signed: Place/Date Pupil Father Mother

Terms and Conditions 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Pupils will be given a copy of the school rules on arrival. The rules have to be observed. Serious or repeated breaches of the rules, as well as damage to the reputation of the school in public can lead to immediate exclusion from the school. This decision lies at the discretion of the School Management. In the case of exclusion or discontinuation for other reasons, there will be no refund of the course fee. The meal costs of 11.40 E per day will be refunded. Cancellation of the contract before the course is not possible. We recommend taking out travel insurance, which will cover the cost in the event of illness. Suitable policies can be found at: http://www.hmrv.de or www.elvia.de. In the case of damage or destruction of property, the pupils who cause the damage, must bear the cost of replacement or repair. Parents are responsible for their children. No liability is accepted for persons and their property, caused to themselves or others during the Summer School. This disclaimer also applies to Employees during the Summer School. Excluded are damages caused by intent or gross negligence of the operator or his staff. For loss, destruction and damage to belongings that are brought to the school the Kurpfalz Internat will only accept liability in the case of gross negligence of the operator or the persons employed in the summer school. Money and valuables can be deposited in the office. The previously mentioned parties shall be liable for all obligations under this contract. Students over 18 also agree to the contract. The course fee includes accommodation, three meals and a snack per day, three taught lessons and three supervised homework lessons per day, the free use of existing recreational facilities and the recreational program (with supplements for certain activities). The course fee is to be paid 10 days before the course into the following account at the Heidelberger Volksbank or in cash on arrival: IBAN: DE34672900000000286800 BIC: GENODE61HD1 Pocket money for personal use and possibly for books is essential. This is paid into a pupil s account held by the Kurpfalz Internat. This also helps to prevent theft. The use of vehicles without the approval of the school can lead to exclusion, as can actions and the possession of objects and materials that endanger the safety or integrity of students. Pupils who travel to school in their own vehicle must hand their key to their Boarding Tutor during the week. Foreign students or students whose parents reside abroad are subject to German Law.

Questionnaire for Summer School Participants 2015 Surname: Christian Name: Date of Birth: Please complete the following information for your teacher in the Summer School: In which class was the pupil on 31st May this year? What kind of school is it? Will the pupil succesfully complete the year? My child has chosen the following subject in Summer School: MATHS GERMAN GERMAN for non-native speakers DYSLEXIC TRAINING a 2 + b 2 = c 2 Ich lerne Deutsch! ENGLISH FRENCH SPANISH LATIN Z S P r a B t W What mark do you expect your child to get in this subject at school? How long has he/she been studying this subject? Please be aware that we can only offer a class when there are at least 3 pupils registered for the subject. Should your chosen subject not be offered: We would like to cancel the place We would like our son/daughter to do the following subject instead: German English French Latin Maths Spanish What mark do you expect your child to get in this subject at school? How long has he/she been studying this subject? Current and future pupils of the Kurpfalz Internat can also take one more subject during the Summer School. They will be given 1 private lesson per day. There will be a charge of 450,00 E for this. Would you like to book Private Lessons? no Yes - Which Subject? It may be appropriate to combine these lessons with another pupil. In this case the cost would be divided between the number of participants.

Please also complete the following: For pupils taking a foreign language: years My child has no previous teaching in this subject Where do the main difficulties in your chosen subject lie? Please focus on the following areas: How long has he/she been having difficulties in this subject? What has been done so far to try and address these problems? Any further information: