Booking Form for St Andrew's Centre 2008

To book a place at International Summer School St Andrew's Centre Eastbourne please complete the following form. We will contact you with regards to payment which can be done by credit card via fax. Please do NOT enter your credit-card details below or e-mail them to us!

Booking Form

Before completing the form please read the Terms and Conditions.

Student Details
Family Name:
First Name:
	Boy Girl
Nationality:
Date of Birth:	Day 12345678910111213141516171819202122232425262728293031 Month 123456789101112 Year 198519861987198819891990199119921993199419951996199719981999200020012002
First Language:
Knowledge of English:	Beginner Elementary Intermediate Advanced
Is the student in good health:	Yes No
If "No", please provide details:
Do you require insurance? (£42 for length of stay. See Terms and Conditions for details.):	Yes No
Parental Details
Name of parent or guardian:
E-Mail Address:
Postal Address:
Home Telephone:
Work Telephone:
Fax:
Emergency Contact Details
Name of emergency contact:
Address:
Home Telephone:
Work Telephone:
Fax:
How did you hear about ISS:
Airport Transfer We are happy to meet children at Heathrow, Gatwick and Stansted airports, and Ashford train station. Children are met by I.S.S. staff who transfer them to the school.
Do you require airport transfer?	Yes No
If "Yes" please choose airport/train station:	Heathrow (£170 return) Gatwick (£150 return) Ashford (£170 return) Stansted (£180 return)
Weeks Required Please select your preferred dates. Note: Arrival Sunday, Departure Saturday.
Total number of weeks:
Summer:	July 6 - 12 (£575) July 13 - 19 (£575) July 20 - 26 (£575)
Optional Activities You can only do one activity per week. 3 lessons per activity per week.
Cycling/Mountain Biking 2 hours per week £25	Number of weeks:
Tennis 6 hours per week £95	Number of weeks:
Swimming 3 hours per week £45	Number of weeks:
Golf 6 hours per week £135	Number of weeks:
Horse riding 1 hour per week £40	Number of weeks:
Horse riding 2 hours per week £80	Number of weeks:
Horse riding 3 hours per week £120	Number of weeks:
By submitting the form you state that you have read and agree with the Terms and Conditions.