Football Programme Booking Form – Students aged 16 and 17

Name and date of birth of student
Postal address, nationality & native language of student
Student’smobile phone number
Start date of course
Finish date of course
Type of programme (please choose one) – / BTEC + FOOTBALL / ENGLISH + FOOTBALL
Current English level
Height and chest size in cm (for kit)
Football position played
Academic history – please state most recent school and level of education
Accommodation - choose one – / I have arranged accommodation in Manchester for my child (please give name, address and phone number of the adult they will be staying with) / Please arrange homestay accommodation for my child
Arrival flight details
Departure flight details
Any medical conditions? / Allergies? / Do you take any medicines? / Dietary requests?

We, the parents of the student named above, wish to enrol our child on this programme. We understand and consent to these rules (below and next page), and also the policies, terms and conditions of IH Manchester.

SUPERVISION AND INDEPENDENCE –
  • Students travel independently to and from the UK. Students also travel independently to and from school each day, and they buy and take care of their travel card or ticket.
  • Students have some independence and unsupervised free time. They must return to the host family home by 9pm each evening, unless they have permission from school to stay out later (school will ask parents to give written permission in this situation).
  • Students must not stay out anywhere overnight without permission from the school and their parents.
  • Hosts will not leave students aged under 18 alone in the house for more than 4 hours, exceot for rare circumstances.
  • Student aged 16 and 17 may be accommodated in homestay with students aged 18 and over

HOMESTAY–
  • Swap contact numbers with your host when you arrive at their home, and keep their number with you. Also keep our school contact number with you at all times. We have a member of staff available at all times in case students need our assistance.
  • If students are unwell and cannot come to school, they must ask their host to contact our welfare officer by 9am that morning.
  • Internet access is available at the host house and at the school – please access this responsibly. Students or their parents will be liable for any additional internet costs
  • Students must not invite guests to the host home without prior permission from the host.
  • No smoking or drinking alcohol at any time, and no matches or lighters may be brought into school or the host house.
  • Students will be liable for any damage or losses caused at the host house and parents will be informed of any charges.
  • The host will wash the student’s clothes each week, bed linen and towels will be changed each week. Hosts will not go into the student’s bedroom without permission, and students must not enter other bedrooms in the house.
  • The hosts are experienced with this age group. They will want to get to know you. Please discuss with them if there is any kind of food that you don’t like to eat, or if you have any problems at all.
  • I give permission for my child to be registered at their hosts’ local medical practice, and toreceive emergency medical treatment if required.

IN SCHOOL –
  • Mobile phones must not be used in class. If the student changes their number, please inform school and host.
  • Students aged 16 and 17 may join in classes and social activities with adult students. All students are permitted to leave school, unsupervised, during breaks and lunchtime
  • I give permission for photos / video of my child to be used for marketing purposes by IH Manchester.
  • Travel insurance for the football programme is provided by Guardme– parents need to read the details of the insurance and decide if this cover is adequate for their child’s requirements, or arrange alternative travel insurance for their child.
  • Our Welfare Officer is normally at school every day and is available for students to talk to if they have any issues
  • I authorize my child’s full participation in this football programme. I understand that the programme is not without some inherent risk of injury and hereby release and discharge IH Manchester and its partners from any and all liability, claims, demands and actions resulting from any loss or injury my child my incur, including death, during the program.
  • I understand that if my child violates the rules of the programme he may be expelled with immediate effect and without refund. I understand that in this situation I will be required to provide transport home for my child and that IH Manchester will not be liable for my child’s costs in returning home following expulsion.

BOTH PARENTS TO SIGN –

Signed (Father) …..……………………………………………………………………………………………………. Date ……………………………….

Signed (Mother) ………………………………………………………………………………………………………… Date …….…………………………

Father’s full name, full postal address & telephone number and email address
Mother’s full name, full postal address & telephone number and email address

We will use/accept these email addresses for contact with parents in case of a student query, or if special permissions are required for the student

IJ Tours limited t/a “International House Manchester” – Company Number: 5813751

Head Office: 8 Oxstalls Lane, Longlevens, Gloucester GL2 9HT Tel: + 44 1452 619021 - School address: Brook House, 64 – 72 Spring Gardens, Manchester M2 2BQ