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Book a Summer Program
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:
  *Emergency contact email address:
  *Child's date of Birth:
  *Child's nationality:
  *Child's first language:
  *Correspondence address:
  *Telephone number:
  Mobile Number:
  *How did you hear about us?:
  *Does your child have a serious medical condition?:  No
 Yes - Please give details
  *Is your 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 your child bring any medicines with them?:  No
 Yes - Please give details
  *Has your child had a tetanus vaccination?:  No
 Yes - Please give details
  *Do you consent to the child having painkillers?:  No
 Yes
  *Does your child have any allergies?:  No
 Yes - Please give details
  *Is there any food your child cannot eat?:  No
 Yes - Please give details
  *Do you require a daily bus service?:  No
 Yes - Please give details
  *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 £200 - one way
 Heathrow £400 - two way
 Gatwick £125 - one way
 Gatwick £250 - two way
 London St Pancreas £100 - one way
 London St Pancreas £200 - two way
 Other
  *Do you consent to the child's photo being taken:  Yes
 No
  Is the child traveling as an unaccompanied minor?:  Yes
 No
  If you are an Agent what is your agent number?:
  *I have read and agree to the terms and conditions:  I confirm that this is correct
  Method of Payment:  Credit card (3% surcharge)
 Cheque
 Bank Transfer
 Cash
 Deposit (33% or more)

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