Online Enrolment for English Language Study Courses in the UK.


	Online Enrolment Form

Enrol > Downloads : Enrol Online

Online Enrolment Form

Please complete the following online Enrolment Form with care. Be sure to give a correct e-mail address or we won't be able to contact you. We suggest that you complete a paper copy of this form before completeing this page. Download a printable copy of the Enrolment Form.

If you pay for your online time then you should be able to disconnect while you complete this page. When you have finished re-connect and click "Submit". You will see a confirmation page when your form has been successfully submitted to us.

Section 1 - About You
Name as shown on passport:
Family Name		First Name Male Female
Nationality		Religion
Passport No.
Age		Date of Birth Year
Permanent Address:
Street		City
ZIP/Post Code (required)		Country
Tel (+ ISD code)		Fax (+ ISD code)
E-mail		Please double check the address given.
Current address in United Kingdom (if applicable):
Street		City
ZIP/Post Code (required)		Tel (+ ISD code)
How Did You Hear about CHILC?
Friend Brochure Website Agent Agents Name
Other Please State
What is your current level of English? Please tick appropriate box and enter score or grade if applicable
IELTS (score) TOEFL (score) GCE/O Level (grade)
Other Please Specify

Section 2 - Your Course
CHILC course name (please tick appropriate box)
IELTS Holiday Proramme Business English
Cambridge English as a Foreign Language Exam: KET PET FCE CAE CPE
Learn and Work One-to-One Other Specify
Course Start Date Length of Course
Further Education Academic Course Name. Please indicate your choice of course:
A Levels (please specify)	1 2 3 4
Vocational Qualifications (GNVQ, BTEC, etc.)	please specify
Pre-University Foundation Diploma

Section 3 - Accommodation
Do you need CHILC to arrange accommodation for you? Yes No
NB! Accommodation will only be reserved once we have confirmation of enrolment and have received a deposit payment for tuition fees.
Types of Accommodation:
Short stay (up to 2 months)	Homestay – Shared room Homestay – Single room Homestay – Executive Accommodation Hotels/B&B
Long stay (over 2 months)	Rented Accommodation Rent-a-room Hostel Accommodation Homestay
Accommodation Start Date	Finish date
Do you smoke? Yes No
What type of family would you prefer?
	Young/Middle Age: Yes No Don’t mind
	Retired: Yes No Don’t mind
	Children: Yes No Don’t mind
	Pets: Yes No Don’t mind

Do you have any special dietary requirements?
No Yes (If yes, please specify)
Do you have any allergies or medical conditions that we should know about?
No Yes (If yes, please specify)

Section 4 - Airport Transfers
Airport transfer services (available as listed in the Course Details and Fees insert)
Private Hire Taxi Arrival Only Departure Only Both Ways Not Required
Arrival Airport	Date Year
	Time (eg. 17.30) Flight Number (eg. BA123)
Departure Airport	Date Year
	Time (eg. 17.30) Flight Number (eg. BA123)
If you are arriving by any other form of transport, please give details:

Section 5 - Payment Details
Please make all bank transfers payable to:
Account Name: Account No: Sort Code: Bank Address:	Castle Hill School Ltd 00175137 20 81 20 Barclays Bank Plc Barclays Business Centre 49, Broad Street Stamford, Lincs, PE9 1PZ England
Please make all cheques made payable to: Castle Hill School Ltd
NB! Please check if the course you have chosen is inclusive of the enrolment fee or not.
I have sent my £500 enrolment fee: Yes No
Method of payment: Bank transfer Cheque

Section 6 - Agreement & Signature – For all students to complete
1. I have read and agree to the Terms and Conditions of Acceptance outlined by CHILC including the enrolment, cancellation and refund policy.
2. I have read and understand the relevant schedule of costs set out in the CHILC price list and hereby confirm that I have sufficient funds to pay for all tuition costs as well as the cost of food, accommodation and other personal expenses during the full period of my course at CHILC.
3. I authorise CHILC to take appropriate action in the event of a medical emergency and I understand that I am responsible for all insurance provisions and medical and dental bills that may be incurred during my stay at CHILC.
4. I certify that all information given by me in this Enrolment Form is accurate and complete.
Full Name of Applicant Date Year
NB! If the applicant is under 18, a parent or guardian must sign on his/her behalf and guarantee the necessary funds for the applicant.
Name of Parent/Guardian Date Year
Relationship to Applicant (eg. mother, brother)
	Please click the "Submit Form" button once only when you've completed your form. Information given here remains confidential and will not be shared with any third party.

Enrol > Downloads : Enrol Online

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