REGISTRATION FORM 2016

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1 REGISTRATION FORM 2016 HOW TO COMPLETE YOUR REGISTRATION 1. Complete this page Contact and Booking Details page 1 2. Indicate the programme you wish to attend Little Explorers (Eastbourne & Vinehall) page 2 New Horizons (Handcross) page 2 Adventures in English (Windlesham) page 3 English Plus (Dicker & Lancing) page 4 English for the Future (Brighton) page 5 Academic Dicker (Dicker) page 6 Legat Dance (Dicker) page 6 3. Complete the Other Details information page 7 4. Sign the agreement page 8 5. Send this form by post, fax or (scanned) to with a deposit of Send a recent photo of the student in JPEG format to for their ID Card PLEASE COMPLETE THE REGISTRATION FORM IN BLACK INK, IN CAPITAL LETTERS CONTACT AND BOOKING DETAILS 1. STUDENT S DETAILS First name Surname English name (if different) Nationality Native language Boy Girl Date of Birth 2. PARENT/GUARDIAN CONTACT DETAILS (This section is not for agents details) Your booking confirmation will be sent by please write your address clearly. Parent or guardian name Address Home telephone Work telephone (father) Town Postcode Country Work telephone (mother) Mobile (father) Mobile (mother) Student s mobile Does the Parent/Guardian named above speak some English? Yes No If not, please provide the name and phone number of an English-speaking contact in case of emergency. Name Phone number 3. BOOKING DETAILS How did you hear about Bede s? Family/friend Internet British Council Has the student passed an internationally recognised English language exam? Yes No Agent Student s level of English? Other If yes, please state exam(s) and result(s) below: Beginner (A1) Elementary (A2) Pre-Intermediate (A2) Intermediate (B1) Upper Intermediate (B2) Advanced (C1) Proficiency (C2) Has the student been to Bede s before? Yes No 4. AGENT (If you are booking through a local Agent, please provide the Agent s name) 1

2 LITTLE EXPLORERS PROGRAMME (Eastbourne & Vinehall) 1. CENTRE AND DATES Choose the course and the dates by ticking the relevant boxes below: (2 boxes = 2 weeks) Little Explorers Eastbourne (6 11yrs) Vinehall (8 12yrs) 2 week course 2 week course The recommended minimum stay is 2 weeks. Arrival must be on Sunday and Departure on Saturday. 1 week stays are available in some weeks contact us for further details. Residential Course 990 per week Price includes: Accommodation English Lessons Evening Social Events Excursions Laundry Materials 3 Meals a Day Sports & Activities Transfer Service Travel Insurance. Day Course 550 per week Course from Monday to Friday to This price does not include a Transfer Service. Transfer costs (up to 4 people) are: 150 (LGW), 200 (LHR), 250 (STN) per journey. Evening option (17.00 to 20.30) 100 per week (payable on arrival). Saturday Excursion option: 50 per excursion (payable on arrival). Parent Course (Eastbourne only) Group lessons: 250 per week (15 hours per week, Monday to Friday to 12.30). How many Group lessons are available at 3 levels only Elementary Pre-Intermediate Intermediate One-to-one lessons: 25 per hour All English levels are available How many hours per week? How many Level Parent Leisure Programme: 150 per week (Monday, Wednesday and Friday to 17.00). How many 2. EXAM COURSES (optional) The fee includes dedicated exam preparation, exam registration fee and certificate. Exam Centre Duration Course Dates Exam Date TRINITY SPEAKING (all levels) Vinehall 2 weeks Jul 75 Fri 22 Jul ACADEMIES (optional) Only ONE per week is possible. For students up to intermediate level only. A minimum number of students is required for each to run. Tick the relevant Hours/ Week Eastbourne Vinehall Beginner Low Medium How many Golf 6 hours 250 All Weeks Horse Riding * 3 hours 250 All Weeks All Weeks Sports Swimming 3 hours 150 All Weeks All Weeks Tennis 6 hours 150 All Weeks Other Animal Management 6 hours 150 Weeks 2, 4, 6 *The student s height and weight is required for Horse Riding. Height Weight NEW HORIZONS PROGRAMME (Handcross) 1. CENTRE AND DATES Choose the course and the dates by ticking the relevant boxes below: (2 boxes = 2 weeks) New Horizons Handcross (10 14yrs) Price: 990 per week The recommended minimum stay is 2 weeks. Arrival must be on Sunday and Departure on Saturday. 1 week stays are available in some weeks contact us for further details. Price includes: Accommodation English Lessons Evening Social Events Excursions Laundry Materials 3 Meals a Day Sports & Activities Transfer Service Travel Insurance. 2

3 2. EXAM COURSES (optional) The fee includes dedicated exam preparation, exam registration fee and certificate. Exam Centre Duration Course Dates Exam Date TRINITY SPEAKING (all levels) Handcross 2 weeks 3 16 Jul 75 Fri 15 Jul 2016 TRINITY SPEAKING (all levels) Handcross 2 weeks Jul 75 Fri 29 Jul ACADEMIES (optional) Only ONE per week is possible. For students up to intermediate level only. A minimum number of students is required for each to run. Tick the relevant Hours/ Week Handcross Beginner Low Medium How many Arts Piano 3 hours 200 All Weeks Sports Horse Riding * 3 hours 250 All Weeks Tennis 6 hours 150 All Weeks * The student s height and weight is required for Horse Riding. Height Weight ADVENTURES IN ENGLISH PROGRAMME (Windlesham) 1. CENTRE AND DATES Choose the course and the dates by ticking the relevant boxes below: (2 boxes = 2 weeks) Adventures in English Windlesham (11 15yrs) Price: 940 per week The recommended minimum stay is 2 weeks. Arrival must be on Sunday and Departure on Saturday. 1 week stays are available in some weeks contact us for further details. Price includes: Accommodation English Lessons Evening Social Events Excursions Laundry Materials 3 Meals a Day Sports & Activities Transfer Service Travel Insurance. 2. EXAM COURSES (optional) The fee includes dedicated exam preparation, exam registration fee and certificate. Exam Centre Duration Course Dates Exam Date TRINITY SPEAKING (all levels) Windlesham 2 weeks 3 16 Jul 75 Fri 15 Jul 2016 TRINITY SPEAKING (all levels) Windlesham 2 weeks 24 Jul 6 Aug 75 Fri 5 Aug ACADEMIES (optional) Only ONE per week is possible. For students up to intermediate level only. A minimum number of students is required for each to run. Tick the relevant Hours/ Week Windlesham Beginner Low Medium How many Arts Performing Arts 6 hours 150 Weeks 2 5 Adventure Sports 3 hours 250 Weeks 3, 5 Sports Football 6 hours 150 Weeks 2 4 Horse Riding * 3 hours 250 All Weeks Tennis 6 hours 150 All Weeks * The student s height and weight is required for Horse Riding. Height Weight 3

4 ENGLISH PLUS PROGRAMME (Dicker & Lancing) 1. CENTRE AND DATES Choose the course and the dates by ticking the relevant boxes below: (2 boxes = 2 weeks). Minimum English level A2 (Elementary), complete beginners are not accepted. English Plus Dicker (12 17yrs) Lancing (13 18yrs) Price: 1,040 per week The recommended minimum stay is 2 weeks. Arrival must be on Sunday and Departure on Saturday. 1 week stays are available in some weeks contact us for further details. Price includes: Accommodation English Lessons Evening Social Events Excursions Laundry Materials 3 Meals a Day Sports & Activities Transfer Service Travel Insurance. 2. ENGLISH PLUS OPTIONS (optional) Students may select one option per week (1 hour per day, 5 hours per week), in place of Research Projects and must be booked in advance. A minimum number of students is required for each option to run. 75 per week. Category Option Dicker Lancing How many Subjects Languages Contemporary History Minimum English Level B1 (Int.) Economics B1 (Int.) English Literature Environmental Science B1 (Int.) B1 (Int.) International Relations B1 (Int.) Management B1 (Int.) Academic Level Accepted Age Range Notes Maths GCSE 14 15yrs Maths A Level 16 17yrs Politics B1 (Int.) Science (Combined) Pre-GCSE 12 13yrs Science (Combined) GCSE 14 15yrs Chinese (Beginners) Start Dates: Weeks 2, 4, 6 French (A2 Pre-Int.) French (B1 Int.) German (A2 Pre-Int.) German (B1 Int.) Spanish (A2 Pre-Int.) Spanish (B1 Int.) 3. EXAM COURSES (optional) The fee includes dedicated exam preparation, exam registration fee and certificate. Exam Centre Duration Course Dates Exam Date PET Dicker 3 weeks Jul 400 Tue 26 Jul 2016 PET Dicker 2 weeks Jul 300 Tue 26 Jul 2016 FCE Lancing 3 weeks Jul 400 Thu 28 Jul 2016 CAE Lancing 3 weeks 3 23 Jul 400 Thu 21 Jul 2016 Exams places must be booked by 13 June Confirmation of a place on an Exam Course is subject to availability and to satisfactory online placement test. PET B1 (Intermediate) level required FCE B2 (Upper Intermediate) level required CAE C1 (Advanced) level required 4

5 4. ACADEMIES (optional) Only ONE per week is possible. For students up to intermediate level only. A minimum number of students is required for each to run. Tick the relevant Hours/ Week Dicker Lancing Beginner Low Medium How many Ballet 6 hours 200 Weeks 5 8 Arts Sports Other Fine Art 6 hours 150 Weeks 2 4 Piano 3 hours 200 All Weeks Street Dance 6 hours 200 Weeks 2 4 Weeks 3 7 Adventure Sports 3 hours 250 Weeks 3 7 Basketball 6 hours 150 Weeks 5 8 Football 6 hours 150 All Weeks All Weeks Flying * 1½ hours 600 All Weeks Golf 6 hours 250 All Weeks All Weeks Horse Riding * 3 hours 250 All Weeks All Weeks Tennis 6 hours 150 All Weeks All Weeks Water Sports 3 hours 250 Weeks 3 6 Animal Management 6 hours 150 Weeks 3, 5, 7 Design Technology 6 hours 150 Weeks 3 5 First Aid 6 hours 150 Weeks 2, 4, 6 * The student s height and weight is required for Flying and Horse Riding. Height Weight ENGLISH FOR THE FUTURE PROGRAMME (Brighton) 1. COURSE DATES Choose the course dates by ticking the relevant boxes below: (2 boxes = 2 weeks) English for the Future Brighton (16 20yrs) 25 hours per week (English Skills, Communication Skills & Professional skills). Minimum English level B1 (Intermediate). 1,350 per week. Price includes: Accommodation Evening Social Events Excursions Internet Lessons Materials Meals ( 20 daily allowance) Social Events Transfer Service Travel Insurance. 15 hours per week (English Skills & Communication Skills). Minimum English level A2 (Pre-Intermediate). 1,150 per week. 2. COMMUNICATION SKILLS Please indicate which 5 lessons you would like to attend. Business Etiquette Conducting Meetings Creative Writing Critical Thinking Debating Essay Writing Negotiating Presenting Problem Solving Writing a Management Report Please note that we will do our best to accommodate students preferences, but no workshop can be guaranteed. No refund is available if certain workshops cannot be offered. 3. PROFESSIONAL SKILLS (25 hour course only) Please indicate, in order of priority (1 = highest), 4 subjects the student wishes to study: Coaching Contemporary History Entrepreneurship Film Studies Finance Health & Nutrition International Politics Law Management Modern Psychology New Technologies Please note that we will do our best to accommodate students preferences, but no subject can be guaranteed. No refund is available if certain subjects are not available. 4. IELTS Exam (optional) To book a place on an IELTS Exam Course, please tick the appropriate box below: Course Dates Course Duration Exam Date Course 26 Jun 9 Jul 2 weeks Sat 9 Jul Jul 13 Aug 2 weeks Sat 13 Aug 300 The fee includes 2 weeks of dedicated exam preparation, all materials, exam registration fee and certificate. IELTS students must stay 1 extra night (no extra charge) and depart on Sunday. 5

6 ACADEMIC DICKER PROGRAMME (Dicker) 1. COURSE DATES Choose the course dates by ticking the relevant boxes below: (2 boxes = 2 weeks). Minimum English level B1 (Intermediate). Academic Dicker Dicker (12 17yrs) Price: 1,190 per week The recommended minimum stay is 2 weeks. Arrival must be on Sunday and Departure on Saturday. 1 week stays are available in some weeks contact us for further details. 2. SCHOOL SUBJECTS Subject Lessons will be studied in 3 academic levels, depending on the student s age. Tick the box that corresponds to the student s age at the time of the course: Age Level Subjects 12/13yrs 14/15yrs Pre-GCSE GCSE A range of subjects which may include, for example: Art & Design, Business Studies, Computer Studies, Design Technology, Extra English, English Literature, Geography, Maths, Science, Sports Science. 16/17yrs A Level Please indicate your preferences opposite: A Level Students only (16 and 17yrs) Please indicate, in order of priority (1= highest priority), 4 subjects the student wishes to study: Art & Design Biology Business Studies Chemistry Computer Studies Economics English Literature Extra English Geography Maths Physics Please note that we will do our best to accommodate students preferences, but no subject can be guaranteed. No refund is available if certain subjects are not available. LEGAT DANCE PROGRAMME (Dicker) 1. COURSE DATES Choose the course by ticking the relevant box below. Minimum English level A2 (Elementary). Legat Dance Dicker (12 17yrs) 2 week course Price: 1,350 per week Price includes: Accommodation Dance Lessons English Lessons Evening Social Events Excursions Laundry Materials 3 Meals a Day Transfer Service Travel Insurance. Dance level (what ballet training does the student have and to what level?) Previous ballet experience is essential 6

7 OTHER DETAILS 1. TRANSFER SERVICE A Transfer Service is provided to/from the following airports/stations on arrival and departure days at any time, but preferably between and 17.00: Gatwick Heathrow Stansted Ashford Train Station Ebbsfleet Train Station No Transfer Service on arrival required No Transfer Service on departure required We strongly advise you NOT to book any transport until we have confirmed your booking. We may be able to collect from other airports or train stations, subject to an additional charge. Please contact us for a quotation. Irregular Transfer: Arrival or departure on an irregular day, subject to availability and at the entire discretion of the Summer School, 100. Transfer Arrangement : (within 7 days of arrival) POCKET MONEY The student may bring a maximum of 100 per week in cash. If the Parent wishes the Student to have more pocket money, this must be paid in advance by credit card. Visit This cash limit does not apply to English for the Future students. 3. COURIER SERVICE (optional) Please tick here if you require original confirmation documents/visa invitation letter to be sent by courier at an extra charge of PAYMENT DETAILS Bede s collaborates with StudyPay, who specialise in international payments and offer competitive foreign exchange rates and low bank charges. a) StudyPay Please visit to make a payment in GBP or in your local currency by Bank Transfer or Credit Card. b) Other If you prefer to send an international transfer from your own bank, please use the bank details below. In this case, make sure you pay all bank charges so that Bede s receives the full GBP amount. Please state the student s full name or the invoice number as the reference. Account Name: St Bede s International Summer School Bank: Barclays Bank plc Sort code: Barclays Corporate Account number: Level 27, 1 Churchill Place IBAN: GB36 BARC London E14 5HP SWIFTBIC: BARCGB22 5. PASSPORT DETAILS (for Visa purposes only) Only complete this section if the student will need a visa to study in the UK Passport Number Date of Issue / / Expiry Date / / 6. MEDICAL AND DIETARY INFORMATION a) Does the student have any medical condition or disability? Yes No b) Does the student have any allergies? If you have ticked yes, you must send us a recent photo of the student. Yes No c) Is the student taking medication? You must list all medication taken, dose and how often it is taken. Yes No d) Does the student require a special diet? Yes No e) Does the student have any learning difficulties? Yes No f) Does the student suffer from any emotional or behavioural conditions? Yes No If you have answered Yes to any of the above questions, you MUST give full details below: g) I agree to Bede s staff administering the student common, non-prescribed medicines, for example paracetamol, throat lozenges, cough syrup etc in case of sickness. h) I agree to Bede s staff administering the student controlled drugs prescribed by a doctor in the student s home country or by a doctor in the UK. i) I give permission for Bede s staff, in an emergency, to follow the advice of attending medical staff and to authorise medical treatment and/or anaesthetic for the student. Should this information change, you must inform us immediately. 7

8 7. OTHER FEES Item Adult Transfer 75 Irregular Transfer 100 Transfer Arrangement Change Cancellation English Plus Options Change English Plus Options Cancellation Courier 100 (within 7 days of arrival) 25 (within 8 weeks) 75 (within 8 weeks) 25 (within 8 weeks) 75 (within 8 weeks) 65 per delivery AGREEMENT You must sign here before sending this registration form. Signature Date I confirm that all the information I have provided is correct to the best of my knowledge. I confirm that I accept the terms and conditions of registering the student (see Terms & Conditions of Enrolment 2016). WHAT HAPPENS NEXT 1) Once we receive this form and your deposit, we will send you a confirmation letter, invoice, visa invitation letter (if required), transfer service form and student handbook. 2) When you receive our confirmation pack, you can book the flights. Once you have booked the flights, you must send us the flight details. 3) We will send you an confirmation of the flight details. You must check this carefully and let us know of any errors or changes. 4) You must pay the full balance 8 weeks before the course begins. Bede s Summer School Upper Dicker, Hailsham East Sussex BN27 3QH UK T bedessummerschool.org 8

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