Canterbury Cathedral
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Enrolment form

About you ...
Family Name:  First Name(s):
Nationality: Sex: male female
First Language: Date of Birth:
Occupation: Age:
Home Address: Country:
Phone: Fax:
Mobile: Email:
If you have a serious accident etc. in England, who should we contact in your country?
Name: Relationship:
Phone: (e.g. mother, father, ...)


Language courses
Which course would you like to take? Please click on the at first, and tick the then.
Canterbury College in Canterbury
Full board family accommodation
Excursions & standard social programme
Tuition, excursions & social programme
Tuition only
Hot cafeteria lunches from 7th July
Daily transport to and from college
Disneyland Paris Weekend (Fr-So)
St Edmund's School in Canterbury
Full board residential accommodation
Excursions & standard social programme
Full board campus accommodation
Excursions & standard social programme
Football skills course (4 afternoons a wk.)
Golf skills course (4 afternoons a wk.)
Disneyland Paris Weekend (Fr-So)
Prior Park College in Bath
Full board residential accommodation
Excursions & standard social programme
Full board residential accommodation
Excursions & standard social programme
Tennis skills course (4 afternoons a wk.)
Eversley College in Folkestone
Full board residential accommodation
Excursions & standard social programme
Full board family accommodation
Excursions & standard social programme
Hot cafeteria lunches
Horse riding course (4 afternoons a wk.)
Sailing course (4 afternoons a wk.)
Windsurfing course (4 afternoons a wk.)
Disneyland Paris Weekend (Fr-So)
The Royal School Hampstead in London
Unterricht, Unterkunft im College, VP
Excursions & standard social programme
Full board family accommodation
Excursions & standard social programme
Extra 5 hours of Englisch lessons
Disneyland Paris Weekend (Fr-So)
Start date : End date :
Number of weeks :    


For host family accommodation only
Do you like ... About your health ...
dogs? Yes  | No diabetes? Yes  | No
cats? Yes  | No epilepsy? Yes  | No
If you wish your child to stay in the same family
as a friend or relative, please enter in the field:
an allergy ? Yes  | No
If yes, say what?
1. 2. Are you taking medicine? Yes  | No
3. 4. If yes, say what?


Arrival and departure
Date of departure:
Flight number : Flight number:
Airport: Airport:
Seaport: Seaport:
Railway station: Railway station:
Time of arrival: (GMT) Time of departure : (GMT)


Transfer Service
Do you need a taxi/minibus from/to airport to/from your accommodation? Yes  | No
on arrival on departure
private car minibus
So: Canterbury Coll., Eversley Coll., Royal School
Wed: St Edmund's School, Prior Park College


Methods of Payment
I like to pay ...
by bank transfer by a cheque in pounds sterling drawn on an English bank by credit card


Enrolment Form - Please read this carefully before you submit.

I have read and understood the information concerning college courses, dates and fees, including the information about cancellation and refunds and agree that my fees and the terms shall be as indicated. If you let the agency of InterEastCom help you to book, there are no extra charges.


Agency: Hans-Peter Hoffmann - InterEastCom. © 1999-2004 by InterEastCom. All rights reserved. nach oben