English Courses UK English Courses

Instructions:

1. Please read our Terms and Conditions
2. Simply fill in this form
3. And click the SUBMIT button.

We will contact you shortly.

Personal Details

Family Name Mr/Mrs/Miss/Ms

First Name

Date of birth	Nationality	Male / Female
E-mail !!!

Address in England

Postcode		House No./Street & City		County
Tel (Home)		Tel (Work)		Fax No

Home Address

Postcode		House No./Street & City		County
Tel (Home)		Tel (Work)		Fax No

Profession

Do you smoke?

Y / N

Do you like pets?

Y / N

Hobbies/Interests

Course Details - Please fill in carefully the course details

Course Code

Course Title

Accommodation Arrival Date (day/month/year)		Course Starting Date (day/month/year)		Number of Weeks
Accommodation Departure Date (day/month/year)		What level of English have you got? (Elementary/Intermediate/Advanced

Agent Details (if applicable)

Agency Name

Agent Name

Accommodation

Would you prefer a single or shared room?

Single / Shared

Your Arrival / Flight Details

Do you wish to be met at airport?

Y / N

I will be arriving on:

Flight No

From(city)

Airport(Airport/date/time)

Special Requirements

Please state any special requirements.

St. George's Enquiry

How did you hear about St. George's?

Family / Friend / Other

I have read and understood the Terms and Conditions of St. George's Clubclass.

When you have completed the form click SUBMIT

Scheduling of Courses. The school reserves the right to cancel or otherwise alter the dates, times or any particulars of the courses referred to in its leaflet. Limits of Liability. St George's cares sincerely about the welfare of all its students and makes its best efforts to assist them in resolving programs that may arise for them in or out school. However, it does not accept responsibility or liability in respect of deficiencies in the services of any third party which it may use in connection with its own services to students, nor any injury, illness, damage, loss, delay or inconvenience however occasioned to, or injured by the student. Any additional expenses incurred, as a result of any of the forgoing shall be borne exclusively by the students.

Revenue Chambers, Chapel Road, Wothing, West Sussex BN11 1BG

Tel +44 1903 203389, Fax +44 1903 231039

Email info@sg-cc.com