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Book a Summer Program
This application is for any students aged 16 or younger. After completing the details please click on SUBMIT.

*indicates required fields 
  *Child's First name:
  *Child's family name:
  *Parent/guardian's Full name:
  *Parent/guardian's email address:
  *Emergency contact name:
  Emergency contact number (if different):
  Emergency contact email address (if different):
  *Child's date of Birth:
  *Child's nationality:
  *Correspondence address:
  *Your Telephone Number:
  *How did you hear about us?:
  *Does the child have a serious medical condition now or within the past year?:  No
 Yes - Please give details
  *Is the child undergoing medical treatment?:  No
 Yes - Please give details
  *Has the child been seriously ill in the last year?:  No
 Yes - Please give details
  *Any psychological mental or physical difficulties?:  No
 Yes - Please give details
  *Asthma of heart condition:  No
 Yes - Please give details
  *Will the child bring any medicines with them?:  No
 Yes - Please give details
  *Has the child had a tetanus vaccination?:  No
 Yes - Please give details
  *Does the child have any allergies?:  No
 Yes - Please give details
  *Is there any food the child cannot eat?:  No
 Yes - Please give details
  *Location:  Oxford Street - North London (available from 17.06.2012)
 Brighton (from July 2012)
 2012 Residential Campus July 2012
 2013 Los angeles summer school from July
  *Any Special Requests?:  No
 Yes - Please give details
  If you have answered yes, give more information:
  *Program:
  *Number of Weeks:
  Arrival date:
  Airport Transfer Required?:  Heathrow £195 - one way
 Heathrow £390 - two way
 Gatwick £125 - one way
 Gatwick £250 - two way
 London St Pancreas £100 - one way
 London St Pancreas £200 - two way
 Other
  Is the child traveling as an unaccompanied minor?:  Yes
 No
  *New Student Registration £45 fee:  I accept
  *I have read and agree to the terms and conditions:  I confirm that this is correct
  Method of Payment:  Credit card (2% surcharge)
 Cheque (at least 7 days in advance)
 Bank Transfer
 Debit card
 Deposit (minimum of £200 per student)

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