‘LEARN ENGLISH THROUGH DRAMA’

ENROLMENT FORM

Dear Student,

Thanks for joining in the intensive training programme ‘Learn English through Drama’ in summer 2018.

Please, fill in this form to sign up the course.

SECTION 1

Student’s personal details:

Mr Mrs Miss Ms
Name
Surname
Date of birth
Nationality
Address
Mobile number
Email address
I will be 18+ years old at the moment of the course / I will be 16 or 17 years old at the moment of the course
Please, follow the icon below: / Please, follow the icon below:

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The student is 18+ (adult) at the moment of the course
/ The student is -18 (minor) at the moment of the course

SECTION 2

Programme you wish to enrol in

Please, tick þ the options you wish to confirm
1)  Which programme do you wish to attend? / Programme A / Programme B
English language course ‘Learn English through Drama’ / ✓ / ✓
Work experience / ✓
Please, tick one option to choose your PROGRAMME: / A / B
Length and hours of each programme:
A.  Programme A | ‘Learn English through Drama’ English language course: 45-hour programme/session. From 9:30 to 14:00
B.  Programme B | ‘Learn English through Drama’ English language course and Work Experience: 45-hour programme plus volunteering/session. From 9:30 to 14:00 and voluntary work in the afternoons (min. 2 hours per day).
2)  Which session(s) do you wish to attend? / Session 1: from 9th July to 20th July 2017
Session 2: from 23rd July to 3rd August 2017
3)  Where or from whom did you hear about this programme? / Agency – please, indicate name of agency:
Friends
Flyer – please, indicate where you found it:
Facebook Twitter Linkedin Google+ Meetup Hotcourses/Foodlight
Fast Learning School’s newsletter
Google
Other:

SECTION 3

In an emergency, who do you wish us to get in contact with?

SECTION 3.1

Please, fill in the section 3.1 below if you are aged 18+
Emergency contact person:
Mr Mrs Miss Ms
Name
Surname
Relation to student
Nationality
Address
Mobile number
Email address

SECTION 3.2

Please, fill in the section 3.2 below if you are aged -18
Parent’s/Guardian’s contact details:
Mr Mrs Miss Ms
Name
Surname
Relation to student
Nationality
Address
Mobile number
Email address

The following section 3.3 is to be filled in by the student if aged 18+

OR by the student’s parent/guardian if the student is aged -18

SECTION 3.3

Please, tick þ the options you wish to confirm
Do you/ Does your child/ Does your charge:
1)  Have any dietary special requirements? / Yes
No / Please, provide details here:
2)  Have any medical conditions? / Yes
No / Please, provide details here:
3)  Have any allergies? / Yes
No / Please, provide details here:
4)  Are you/ Is your child/ Is your charge asthmatic? / Yes
No / If yes, are they bringing their own inhalers? Yes No
5)  Do you consider yourself/ your child/ your charge to have any Learning Difficulties and Disabilities or Special Educational Needs (e.g. dyslexia)? / Yes
No / Please, provide details here:
6)  Do you agree to yourself/ your child/ your charge receiving medication as instructed under medical supervision? / Yes
No
7)  Students on medication should bring a letter from their doctor written in English with the name of the medicine, the dosage and frequency it should be taken and the condition for which it is prescribed. / Please confirm precise details including dosage:
8)  Students are responsible for the care and administering of their own medication. Can you confirm that you are/ your child is/ your charge is able to self-administer your/his/her medication? / Yes
No
9)  Do you agree to any emergency dental, medical, or surgical treatment, including anaesthetic or blood transfusion as considered necessary to medical authorities, and accept responsibility for the resultant costs? / Yes
No
10) Please, give us details of your/ your child’s/ your charge’s doctor at home: / Name and surname:
Telephone number:
Email address:
11) If you are/ your child is/ your charge is from the EEA (European Economic Community), do you/ does he/she have a valid EHIC (European Health Insurance Card)? / Yes
No / If yes, please provide:
EHIC number:
EHIC issued by:
12) I understand that I must arrange insurance to cover medical expenses if I don’t have a valid EHIC or other private health insurance. / I confirm
13) I understand that the courses organised by Fast Learning School are attended by teenagers and adults and all groups are mixed-age (16+ and adults). / I confirm
/ For the student’s parent/guardian (if the student is aged -18)
Ø  I give consent for my child/charge to take part in this programme and I confirm I have read the details of the programme and am aware of my child’s/charge’s full schedule including scheduled activities and free time. I confirm
Ø  I consent to my child/charge being permitted to socialise and engage in lessons (and/or volunteering) up to the curfew time, after this time he/she must be at home with his/her nominated host family or in his/her residence. I confirm
ATTENDANCE POLICY
a)  Daily attendance in class for the full duration of the class is mandatory unless the student has an excused absence. Students must notify Fast Learning School staff by email (to Mrs Daniela Montagner, ) about any excused absences.
b)  After one unexcused absence, the student will receive a written warning. If the student is a minor, his/her parents or guardian will be notified straightaway. After the second unexcused absence, the student will receive a second written warning and the student's parents/guardian and agent (if applicable) will be notified. If there is a third unexcused absence, the student will become ineligible to receive a certificate.
c)  Barring a medical emergency or prior approval of a Fast Learning School staff member, a student who arrives in class more than 5 minutes late, will be marked tardy.
d)  Two tardies equal one unexcused absence.

For the student aged 18+
Ø  I have understood the 2017 fast Learning School Attendance Policy and have read and fully understand and accept these policies. I confirm

For the student’s parent/guardian (if the student is aged -18)
Ø  I have understood the 2017 fast Learning School Attendance Policy and have read and fully understand and accept these policies. I accept the Attendance Policy, I have read and explained it to my child/charge who also accepts it. I confirm
SECTION 4
Booking & payment methods:
Please, tick þ the options you wish to confirm
1)  Person or company to invoice: / Use student’s details
Use emergency contact person’s details
Other: please, give us name and address for the invoice:
2)  Amounts to be paid and due dates (please, refer to the chart in SECTION 2 for further details): / PROGRAMME A. How many sessions?
1 session: £650/per student
2 sessions: £1,300/per student
Please, tick the option you prefer:
One off instalment due upon receipt
Two instalments:
·  40% deposit for booking confirmation due upon receipt of invoice
·  60% due by the day before the course starts
PROGRAMME B. How many sessions?
1 session: £710/per student
2 sessions: £1,420/per student
Please, tick the option you prefer:
One off instalment due upon receipt
Two instalments:
·  40% deposit for booking confirmation due upon receipt of invoice
·  60% due by the day before the course starts
3)  How do you wish to pay for your booking? / PayPal. We accept payments from verified PayPal accounts only.
èPlease, note we charge £1 for each transaction.
Bank transfer.
èPlease, note we charge £6 for each bank transfer coming from not British bank accounts.

TERMS AND CONDITIONS

a)  In case Fast Learning School cancels the training course(s) you will get a 100% refund of the sum you have already paid. We will get in contact with you as soon as possible and make sure you have received the notification.

b)  In case you decide to cancel your booking, please note:

  1. You will get a 100% refund of what you have already paid if you cancel your booking more than 30 days before the date the course starts
  2. We will keep the deposit (40% of the whole enrolment fee) if you paid and then need to cancel your booking between the 30th day before the course starts and the day before the course starts. Please, note: if you paid the whole enrolment fee and decide to cancel your booking within that term, we will keep the deposit and refund you for the remaining 60%.
  3. You will not get any refund if you cancel your booking once the course has already started.

c)  For booking amending and cancellation we will keep into consideration the notifications we will receive via email only.

d)  Please, note we charge £6 for each bank transfer coming from not British bank accounts. We charge £1 for each payment through PayPal. We will reject any payments coming from not verified PayPal accounts.

………………………………..…………………………..…………………………..…………………………..…………………

Ø  I have read and understood all the information on the present enrolment form. I am responsible for providing Fast Learning School with the correct information.

For the student aged 18+ / For the student’s parent/guardian (if the student is aged -18)
Name of student: / Name of parent/guardian:
Signature: / Signature:
Date: / Date:

SECTION 5

What’s next:

Form
Invoice
Payment & booking confirmation
Info-pack / 1)  Make sure you have correctly filled in the present enrolment form. Email the form to Mrs Daniela Montagner:
2)  You will receive an invoice from Daniela to complete your enrolment.
3)  Once we have received both the enrolment form and the payment notification from you, you will receive a confirmation via email from Daniela as well as some general information on the programme. Please, note we cannot consider your booking confirmed until we receive both your enrolment form and payment.
4)  One week before the course starts you will receive an ‘Info-pack’ from Daniela. There you will find all the details about the programme and other useful information about your stay in London.

Thanks for joining us. We look forward to meeting you.

In the meantime, do not hesitate to contact us if you need further information.

www.fastlearningschool.com

Skype: fastlearningschool

Mob. and Whatsapp: 0044 (0)7508999688

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Fast Learning School – www.fastlearningschool.com