Full Booking Form

Your Name *

Your Email *

Mobile Phone: *

Your Child's Name (as it appears on their passport) *

Child's Preferred Name *

First Choice Camp and Dates *Windmill Hill: 8th - 15th JulyMarchant's Hill: 15th - 22nd July Boreatton Park: 22nd - 29th July

If your first choice is unavailable, are you interested in another camp or date?Windmill Hill: 8th - 15th JulyMarchant's Hill: 15th - 22nd July Boreatton Park: 22nd - 29th July

Multiple Choice *

• Male
• Female

Nationality *

Date of Birth *

Address *

Emergency Contact (Name) *

Emergency Contact (Mobile) *

Emergency Contact (Email) *

English Level *

• Advanced
• Upper Intermediate
• Lower Intermediate
• Beginner

Number of years studying English *

Medical Information. Please disclose here any past/present health problems, allergies of which we should be aware and if regular medication is taken. Please type 'none' if this does not apply. *

Dietary Requirements. Please give any details of dietary requirements and food allergies that we need to be aware of. Please type 'none' if this does not apply. *

How long has your child previously been away from home? *

• Never
• 1 - 3 nights
• 4 or more nights

Payment of Course Fees. On receipt of this booking form, I will: *

• Pay the course fees in full within 72 hours
• Pay 50% of the course fees within 72 hours to reserve a place and pay the remaining 50% no later than 45 days before the start of the course.

T-shirt size *

• Small
• Medium
• Large
• Extra Large

Where did you find out about us? (Please specify the name of the language school if relevant) *

Comments and Questions

Terms and Conditions *

• I have read, understand and agree to the terms and conditions outlined by Educational Adventures

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