Vacational Studies International English Summer Schools
 

Application Form - VacStuds 2010
 

Please answer EVERY question using the boxes, or þ the box required.
S’il vous plaît, répondez à TOUTES les questions.
Bitte beantworten Sie ALLE Fragen.
Rispondere, per piacere, a TUTTE le domande.
Por favor, responda a TODAS las preguntas.

Alternatively, you can print a copy of the Application Form and fax it to us on +44 1635 523 999

Your Name:
Your Email Address:

General details about your son/daughter

1.
I am applying to register my son/daughter for :

MARY HARE 10 July - 7 August 2010
CHEAM 17 July - 14 August 2010
Either MARY HARE or CHEAM whichever is more appropriate for my son/daughter

For availability, please see 'Places Available'.  When we are full at one School, we shall accept at the other School unless you specify in section 17 that this is not possible
2.
Student's full name:
 include family name
  Previous application:

My child has attended Vacational Studies previously and all details are as per my previous application:
No
Yes

If "Yes" please go to section 21 or simply fill in any details that have changed.
 
Name he/she prefers to be called:
 for example, nickname
3.
Date of birth:
 
4.
Sex:
 Male
Female
5.
Nationality:

Your contact details

6. Name and postal address of
Parent or Guardian:

  Phone:
  Mobile:
  Email:
  Fax:
     
7. Address during period of Course, if different from above:
  Phone:
  Fax :
     
8. Name and address of person who may act on my behalf if I cannot be contacted:
  Phone:
  Mobile:
  Email:
  This person is a: Relative
Friend

More details about your son/daughter

9.
Religion:

 
If Catholic, is he/she obliged to attend Mass in England?
 Yes
No
10.
What foreign languages (except English) does he/she understand?
11.
Assessment of his/her knowledge of English:
 Good
Fair
Poor
None
12.
Number of years studying English:
(by July 2010)

 

NEW STUDENTS ONLY
Please send a letter of recommendation from the school on behaviour and attitude to study. See Note 1
The letter of recommendation can be sent later.
13.
Invoice us for:
 OR

for personal expenses (state the amount). (Personal expenses = pocket money + cost of tennis lessons + theatre, if requested). Note: Personal expenses in £ Sterling can be sent bank-to-bank (preferred) or by cheque drawn on a UK bank in advance or be brought by the student. Personal expenses invoiced in € Euro can only be sent bank-to-bank. € Euro transfers will be converted to £ Sterling before the Course begins.
14. Our acceptance is on the
understanding that:

Your child is in good physical and mental health and is able to function independently in a multinational community. Please disclose here any past/present health problems, allergies or behavioural factors of which we should be aware before acceptance:

In the case of food allergies, the student must come with a 1ml. Adrenalin (Epinephine) 1:1000 injection pen ­ an "EpiPen". Students from EU and EEA countries should bring a EHIC card (European Health Insurance Card) to ensure free NHS medical treatment for all conditions.
15. Please list current vaccinations:
16. Brief description of his/her character, if not already known by us:
17. Favourite activities and sports and/or other information that may help us:
  I have access to the internet: Yes
No
18. Can he/she swim? Yes
No
19. Previous longest time away from home (in days):
20. Do you permit him/her
to smoke at home?

Yes
No

See section 27

Options (if applicable & only if your child wants them)

21.
TENNIS LESSONS

(Subject to availablity.)
(Add £40.00 to pocket money)

Yes
No

If Yes
(1) For BEGINNERS or NEAR-BEGINNERS.
(2) A Developing Skills programme for PROFICIENT PLAYERS.
22. LONDON THEATRE Limited availability. Cost (show + travel) = approx. £50. Add this to pocket money. Exact cost will be advised later. Choice of show will be advised later. Yes
No
 

CERTIFICATE: (for task-based audio-visual learning scheme):

NO CHARGE

Travel

23.
He/she will:
 USE FREE HEATHROW COLLECTION SERVICE *
USE FREE HEATHROW RETURN SERVICE *
BE BROUGHT TO SCHOOL BY PARENT/GUARDIAN
BE COLLECTED FROM SCHOOL BY PARENT/GUARDIAN
NEED SPECIAL AIRPORT COLLECTION ARRANGEMENTS **
NEED SPECIAL AIRPORT RETURN ARRANGEMENTS **
   

* Our free service applies to flights arriving at Heathrow Terminals 1, 2, 3 and 5 from 12.00-16.00 on 10 and 17 July and flights leaving Heathrow Terminals 1, 2, 3 and 5 from 09.45-13.00 on 7 and 14 August. UM tickets are excluded. We shall request flight details after we have received Course Fees.
 

** For students arriving at or leaving from Heathrow outside our stated dates or times, or flying on a UM ticket, or who need to be met at other Heathrow Terminals, or if arrival/departure is at Gatwick. We shall request details later.

Payment of course fees

24.
If this application is accepted, when I receive your Invoice, I shall
 SEND FULL PAYMENT OF COURSE FEES IN £ STERLING IMMEDIATELY
SEND 50% OF THE COURSE FEES IN £ STERLING IMMEDIATELY AND THE OTHER 50% IN £ STERLING BY 15 MAY 2010 (Option unavailable after 01.04.10)
SEND FULL PAYMENT OF COURSE FEES IN € EURO IMMEDIATELY (at the £:€ exchange rate on the date the first Invoice is sent)
SEND 50% OF THE COURSE FEES IN € EURO IMMEDIATELY (at the £:€ exchange rate on the date the first Invoice is sent) AND THE OTHER 50% IN € EURO BY 15 MAY 2010 (at the £:€ exchange rate on the date the second Invoice is sent on 1 May 2010) (Option unavailable after 01.04.10)
25.

I agree with the rules of the Course as set out in this web site and 'Notes' and accept that any breach of these will constitute a breach of contract.
26.

I trust Vacational Studies to decide on the level of supervision required on trips and to permit visits and outings (if any) at its discretion.
27.
We understand that smoking or possessing any smoking material is forbidden by immediate expulsion.
28.
I understand that if for any reason not covered by our Insurance policy a student withdrawn from the Course less than fifty days before it begins, or fails to attend the Course, or leaves before it ends, no refund of Fees will be given unless a suitable replacement student accepts the place.
29.
I understand that if any Fees remain unpaid fifty days after the date of the Invoice (unless otherwise stated on the Invoice), and if any Fees remain unpaid fifty days before a Course begins, acceptance of the student will be withdrawn and the place will be considered to have been cancelled.
30.
I understand that Insurance is only as described on the Insurance 2010 information sheet. I accept the terms and agree to be bound by the conditions of the Insurance cover. I declare that my child is in good mental and physical health.
31.
I agree to my and my child's details being stored on Vacational Studies computer. They will not be passed on to any third-party.
32.
I agree that my details may be disclosed to another parent for coinciding travel. I agree that my child's details may be disclosed to other students for contact purposes. (If you wish to delete either or both sentences, contact us first).
33.

If neither the undersigned nor the person in section 8 can be reached in an emergency, I consent to medical treatment being authorised by Ian G. Mucklejohn of Vacational Studies.
34.
I agree to return the completed and signed 'Agreement and Travel Details' form by 6 June 2010.
35.

I understand that English Law applies to all aspect of Vacational Studies.

 

PLEASE DO NOT SEND COURSE FEES UNTIL YOU RECEIVE OUR INVOICE
Office Address:
 Vacational Studies, Pepys’ Oak, Tydehams, Newbury, Berkshire RG14 6JT, England.
Telephone:

(01635) 523 333
International: +44 1635 523 333

Fax:

(01635) 523 999
International: +44 1635 523 999
Email:

vacstuds@vacstuds.com
Web:
 http://www.vacstuds.com
   
Bank Address:
 National Westminster Bank, 30 Market Place, Newbury, Berkshire RG14 5AJ, England.
     

For payment of Course Fees and pocket money please see the Course Fees sheet.

Note 1
A letter of recommendation may not be required if such a request might conflict with the policy of the school or government. Please state possible conflict.
 
Please state if a letter for visa is needed Yes
No

 

We will confirm by letter the details given. A copy of this form will be emailed to you for your records.
 
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