(aged 13-17) Tarragona. Starting Dates. Course fee. Enrolments. Insurance

Size: px
Start display at page:

Download "(aged 13-17) Tarragona. Starting Dates. Course fee. Enrolments. Insurance"

Transcription

1 Tarragona (aged 13-17) 2016 This course takes place in the coastal resort of Tarragona, approx. 100 km south of Barcelona. The course includes 3 hours of Spanish tuition per day, full board accommodation in host families or in en-suite rooms in a student residence, airport transfers on arrival and departure, and a varied and supervised programme of activities and excursions. Please note that Spanish classes may be scheduled to take place in the mornings, afternoons and evenings. Some classes may occasionally take place in classrooms in the student residence. Starting Dates The course runs from the 26th of June to the 30th of July 2016 and students will be able to stay from 1 to 5 weeks. Possible starting dates are therefore as follows: June: 27 (1-5 weeks) July: 4 (1-4 weeks) July: 11 (1-3 weeks) July: 18 (1-2 weeks) July: 25 (1 week) Please note that students should arrange arrival flights for the Sunday before their course starts and departure flights for the Saturday after their course finishes. If it is impossible to arrange transport to coincide with arrival and departure times, please contact us to check that alternative arrangements can be made. Extra nights are usually available on payment of a supplement. Course fee All-inclusive fee - host family 1 week weeks 1, , weeks 1, , weeks 2, , weeks 2, , All-inclusive fee - student residence Please also note that these prices include airport transfers from Barcelona Airport, from to (arrival time at the airport). If students need a transfer before or after 22.00, on other days or from other airports, fees could be increased from 60 to 200 euros per transfer. Transfers are also available from Girona and Reus Airports. Prices on request. Important: we need to receive the arrival details (flight times and number) at least 5 working days before arrival. Enrolments All individual enrolments should be accompanied by a deposit of euros which can be paid by credit card, bank transfer or cheque. Cheques, in euros, should be made payable to International House Barcelona S.L. and sent to the Barcelona school address. Transfers should be made to our bank account which has the following IBAN number: ES , (Swift code: BSA BES BB) and is held at the Banco de Sabadell, Via Layetana 47, Barcelona. Please note that any bank charges incurred on payment of the deposit will be added to the balance of the course fee. However we do not charge commission on credit card payments. Enrolment and payment can be made with complete security from our website. Payment The balance of fees is due at least 2 weeks before the first day of the course. Once we have received full payment, we will send all accommodation details. Cancellations Where a cancellation is received 10 days or more before the course is due to start, the deposit is refunded less euros for expenses. For cancellations received with less than 10 days notice, the deposit is non-refundable. Once the course has started, the cost of the entire programme (course and accommodation) is non refundable. Under exceptional circumstances, and at the discretion of the school Director, students unused fees can be held on account for up to 12 months. In other words, the unused fees (not including the first week s course & accommodation fees which act as the cancellation fee) can be used to study at any of the International House VIVA Group schools for up to a maximum of 12 months after the cancellation date. Please note: We recommend all students take out a course cancellation insurance policy to protect them against such an incident. Insurance All students will be covered by a basic medical insurance policy while in Tarragona. However, we strongly recommend students to take out additional travel insurance in their country of origin to cover any loss, sickness or accident which may occur during the course.

2 Spanish Courses for Teenagers Application Form This application form must be sent to International House Barcelona Student s Details: Mr/Miss: Family name: Address: City: Telephone: (parent/guardian): Nationality: Name of school/institute/college: First name: Country: Fax: Date of birth: Tarragona Tarragona Please reserve me a place on the Summer Course for Juniors: from to Please also reserve me the following accommodation: A. Spanish Host Family B. In a Student Residence from to Other requirements: Current level of Spanish (please circle) Beginner Elementary Lower-Intermediate Upper-Intermediate Advanced I have paid online I enclose/have sent euros by cheque/bank transfer as a deposit I heard about International House from: Date: Full name and signature of parent or adult responsible for this student:

3 CREDIT CARD AUTHORIZATION FORM This form has been created in order to allow you to have third party expenses charged to your credit card. Please provide all the information requested below to ensure prompt processing of your application. Cardholder Information Name as it appears on the credit card: Card type Credit card number Exp. Date: Address: Phone number: 3 - digit security code (On back of card) Student Information: Name: Phone number: Arrival date: Departure date: Relation to card holder: Approved charges: All charges Tuition Accommodation Transfers Other I certify that all information is complete and accurate. I hereby authorize International House Barcelona to collect payment for all charges as indicated in the Approved Charges section of this form by processing a charge to the credit card listed above. Charges must not exceed for the entire stay/event. I understand that a new form will have to be completed if guest wishes to extend his/her stay. I certify that I am the authorized signer of the credit card listed above. Cardholder name: Cardholder signature Date

4 Parental Authorization Spanish Summer Course for Teenagers in Tarragona International House This document is to be completed by the parents or legal guardian of the student. Completion of all three sections of this document is required by International House. A photocopy of the parent s or legal guardian s passport or ID who has signed this document must be included. Thank you! Student s Name: Name of parent or legal guardian: Parent/Legal guardian - nº of passport or ID card: Parent s Date: Emergency Tel.: SECTION 1 RULES FOR ALL STUDENTS Attendance of classes and of all activities in the Social Program is compulsory. Students must be punctual for both classes and activities. Eating and drinking anything but water in the classrooms is not allowed. Students are not allowed to go out alone: they must either stay with the group or remain in pairs at all times. They must inform a member of the Program staff where they are going and what time they will return. Students must not leave the school or Social Program without permission from a member of the Program staff. Smoking is not allowed at any time on the program. The possession or drinking of alcohol is STRICTLY PROHIBITED and parents/agents will be informed immediately of any infringements. Students must attend all meals in their host family s house. Curfew hours for all students (set by school): Sunday to Thursday 23:00, Fridays and Saturdays 24:00. NB Host Families may set earlier curfews. Students MUST respect these curfew times. Students at the Residence may be accompanied by monitors during the evenings and who will ensure that curfew times are respected. I promise that the named student will abide by the above rules. International House Barcelona/Tarragona and the Program staff are not responsible for students who infringe these rules. Failure to comply may be a cause for expulsion from the Program. All costs incurred as a result of expulsion are my responsibility. Signature:

5 SECTION 2 Being a parent or a legal guardian of the applicant, I hereby authorise International House and the host family to make on our behalf any urgent decisions concerning medical, dental or surgical treatment required by the applicant during his/her travel and stay. This document shall be presented to a physician, dentist, or appropriate hospital representative if such should be the case. For any urgent medical treatment not covered by the program s health insurance policy (e.g. problems caused by alcohol or other substance abuse), I hereby leave the following credit card details*: Type of credit card: Credit card number: Expiry date: * These details will only be used in the case of urgent medical treatment. Students who come from a European Union member state need not provide us with credit card details if they scan us a copy of their European Health Card before the program. SECTION 3 So that students can take full part in the blogs and podcasts as part of the Spanish classes, we sometimes need to take photographs of our students and record their voices speaking Spanish on the internet. Group photos may also be taken with local dignitaries at the City Hall. We would therefore like to ask you for permission to use photographs of your child during program activities and record their voices during class activities. Please note that these photos could also be used in our publicity, whose sole purpose would be the promotion of International House's Language programs. I hereby authorise International House and its representatives to use photographic, video and audio material of my son/daughter for the Summer Course blogs and podcasts and also to promote their language programs and complimentary services such as accommodation, social program etc. I understand and accept that my son/daughter's image/voice could be used in print and digital formats, could be accompanied by written text and could appear on International House web pages or on those of their representatives. I agree. I don't agree. Thank you for your collaboration!!

FRENCH COURSE APPLICATION FORM YEAR ROUND ADULT SCHOOL NORMANDY

FRENCH COURSE APPLICATION FORM YEAR ROUND ADULT SCHOOL NORMANDY EIL Intercultural Learning 1 Empress Place, Summerhill North, Cork, Ireland Tel: +353 (0) 21 4551535 Fax: +353 (0) 21 4551587 info@studyabroad.ie www.studyabroad.ie www.volunteerabroad.ie FRENCH COURSE

More information

710.%$ %89-1 +!!0 /9., ! " # $% $& ' (

710.%$ %89-1 +!!0 /9., !  # $% $& ' ( %5 6$6 710.%$ %89-1 +0 /9., # $% $& ' ( 3 '. 14 ' ) * *+, 2 5 -,./ 0 1-2 /01& #$ $%&% $ $ #$%&' (%$)& * +, - #./ )# - 0( Registration form 1. Personal details 2. Course Family name: First name: Title:

More information

LEMANIA SUMMER CAMP APPLICATION FORM SWITZERLAND

LEMANIA SUMMER CAMP APPLICATION FORM SWITZERLAND Ecole Lémania Fondée en 1908 LEMANIA SUMMER CAMP APPLICATION FORM 2018 - SWITZERLAND ECOLE LEMANIA Chemin de Préville 3 1003 Lausanne Switzerland Tel +41 (0) 21 320 15 01 info@summercamp.ch www.summercamp.ch

More information

To enroll your child in our program, please provide the following 4 items:

To enroll your child in our program, please provide the following 4 items: 4211 Waialae Ave #30, Honolulu, HI 96816 Phone: (808) 735-8811 Email: info@bbprekhawaii.com Aloha! Welcome to Bright Beginnings! To enroll your child in our program, please provide the following 4 items:

More information

Summer Camp Application INTERNATIONAL DEVELOPMENT 101

Summer Camp Application INTERNATIONAL DEVELOPMENT 101 INTERNATIONAL DEVELOPMENT 101 Student Information Student Name: Sex : Male / Female Student Preferred/Nickname: Mailing Address: Home Phone Number: Cell Phone Number: School: Grade (Entering): Date of

More information

COUCH TO 5K RUN. A FOCUS 4 WOMEN CRC FALL 2017 Saturday, November 4, 2017, 9:00 a.m. to 4:00 p.m. Space is limited, so sign up soon!

COUCH TO 5K RUN. A FOCUS 4 WOMEN CRC FALL 2017 Saturday, November 4, 2017, 9:00 a.m. to 4:00 p.m. Space is limited, so sign up soon! COUCH TO 5K RUN A FOCUS 4 WOMEN CRC FALL 2017 Saturday, November 4, 2017, 9:00 a.m. to 4:00 p.m. Space is limited, so sign up soon! Applications will be available starting Tuesday, August 1, 2017, in the

More information

Learning Without Limits

Learning Without Limits Learning Without Limits Address: West Haddon Rd Guilsborough, Northampton, NN6 8QE T: 01604740641 F: 01604 749104 Principal: Mrs J S Swales BSc (Hons) Activity: Sports Tour Venue/Destination: Barcelona,

More information

WINTER CAMP 2018 / 19

WINTER CAMP 2018 / 19 WINTER CAMP 2018 / 19 ENROLMENT FORMS Content: Application Form Terms of Condition Social Media & Privacy Form Arrival Form Participant Behaviour Agreement Guidelines for Chaperones Winter Camp Participant

More information

The Abitur Exam Preparation Course offers a total of hours of tuition per week, including: - 15 Quatorial hours (4:1) - 10 One-to-One Abitur

The Abitur Exam Preparation Course offers a total of hours of tuition per week, including: - 15 Quatorial hours (4:1) - 10 One-to-One Abitur The Abitur Exam Preparation Course offers a total of 34.75 hours of tuition per week, including: - 15 Quatorial hours (4:1) - 10 One-to-One Abitur Tutorial hours (1:1) - 2.5 hours of Project Seminar -

More information

Final date: English Intermediate. Advanced How did you get to know our programmes? Male

Final date: English Intermediate. Advanced How did you get to know our programmes? Male application form LANGUAGE EDUCATION IN SPAIN 10 to 15 years old This application needs to be accompanied with the proof of payment of the programme selected. Should you wish to include the cancellation

More information

Address: City: State/Province: ZIP/Postal Code: Height: Weight: Shot: LEFT RIGHT. Current team/level: How did you hear about HTI?

Address: City: State/Province: ZIP/Postal Code: Height: Weight: Shot: LEFT RIGHT. Current team/level: How did you hear about HTI? AGES: Youth Junior College Spring TRAINING PROGRAM 2019 Player Name: Date of Birth (mm/dd/yyyy) Address: City: State/Province: ZIP/Postal Code: Home Phone: Cell Phone: Email: Mother: Work/Fax: Father:

More information

abcd Student Handbook 2018 for Young Learners and Teenagers (Age group 10 to 16 years)

abcd Student Handbook 2018 for Young Learners and Teenagers (Age group 10 to 16 years) abcd Student Handbook 2018 for Young Learners and Teenagers (Age group 10 to 16 years) Contents Page Checklist before and on departure... 3 Travel Documents... 4 Travel Information... 5 Transfer Services

More information

Summer Intensive 2017 Registration Packet

Summer Intensive 2017 Registration Packet REGISTRATION PACKET CHECKLIST ALL DANCERS - Due March 31, 2017: Page 2 Dancer Contact Information Page 3 Session Registration Page 4 Payment Information (if enclosing payment with forms) Page 5 General

More information

For Participants in State University of New York Administered Overseas Academic Activities

For Participants in State University of New York Administered Overseas Academic Activities AGREEMENT AND RELEASE FOR STUDY ABROAD STATE UNIVERSITY OF NEW YORK Overseas Academic Programs For Participants in State University of New York Administered Overseas Academic Activities To the Student:

More information

This Agreement is executed by ( Participant ) and, if Participant is under eighteen (18) years of age, by Participant s Parent or Legal Guardian

This Agreement is executed by ( Participant ) and, if Participant is under eighteen (18) years of age, by Participant s Parent or Legal Guardian CUA FIELD HOCKEY CLINIC AGREEMENT AT THE CATHOLIC UNIVERSITY OF AMERICA This Agreement is executed by ( Participant ) and, if Participant is under eighteen (18) years of age, by Participant s Parent or

More information

REGISTRATION FORM BORNEO DENTAL CONFERENCE, th September 3 rd October 2015 Step 1. Attendee Details

REGISTRATION FORM BORNEO DENTAL CONFERENCE, th September 3 rd October 2015 Step 1. Attendee Details REGISTRATION FORM BORNEO DENTAL CONFERENCE, 2015 26 th September 3 rd October 2015 Step 1. Attendee Details Delegates Title First Name Surname Date of Birth Title First Name Surname Date of Birth Title

More information

IDSALL SCHOOL. Headteacher: Mr. P. Bourton

IDSALL SCHOOL. Headteacher: Mr. P. Bourton IDSALL SCHOOL Coppice Green Lane, Shifnal, Shropshire TF11 8PD. Telephone: 01952 468400 Facsimile: 01952 463052 Email: info@idsall.shropshire.sch.uk Website: idsallschool.org Private Limited Company No.

More information

STATE UNIVERSITY OF NEW YORK Overseas Academic Programs AGREEMENT AND RELEASE FOR STUDY ABROAD

STATE UNIVERSITY OF NEW YORK Overseas Academic Programs AGREEMENT AND RELEASE FOR STUDY ABROAD STATE UNIVERSITY OF NEW YORK Overseas Academic Programs AGREEMENT AND RELEASE FOR STUDY ABROAD For Participants in State University of New York Administered Overseas Academic Activities To the Student:

More information

GIRLS SUMMER PROGRAM 2019 Registration forms

GIRLS SUMMER PROGRAM 2019 Registration forms TINY STARS (2007-2009) FUTURE STARS (2005-2006) STARS (2004-1999) WEEK 1 (July 1 7): FUTURE STARS / TINY STARS WEEK 2 (July 8 14): FUTURE STARS / STARS WEEK 3 (July 15-21): FUTURE STARS / STARS (Includes

More information

REGISTRATION & PERMISSION FORM 2019 ENG4U Ontario Credit course with REACH Cambridge, UK

REGISTRATION & PERMISSION FORM 2019 ENG4U Ontario Credit course with REACH Cambridge, UK REGISTRATION & PERMISSION FORM 2019 ENG4U Ontario Credit course with REACH Cambridge, UK REGISTRATION DEADLINE: March 1, 2019 COURSE DATES: Sunday, June 30 Saturday, July 27, 2019 (four weeks) CONTACT

More information

(US citizens under 18 must apply for the ISP guardianship program) Agent? Yes No Agency Name: Agency Contact Person: Street:

(US citizens under 18 must apply for the ISP guardianship program) Agent? Yes No Agency Name: Agency Contact Person: Street: Last Name (family name) INTERNATIONAL STUDENT PLACEMENTS COLLEGE PROGRAM APPLICATION Attach recent photo here (smiling) Birthdate: Age: Male Female Month / Day / Year (US citizens under 18 must apply for

More information

CHARTER SCHOOL BOARD POLICY #

CHARTER SCHOOL BOARD POLICY # 1. AUTHORITY (SIMILAR TO ED CODE): A. Charter schools can authorize field trips or excursions in connection with courses of instruction or school-related social, educational, cultural, athletic, or school

More information

TOLEDO ZOOLOGICAL SOCIETY LEGAL RELEASE OF RESPONSIBILITY

TOLEDO ZOOLOGICAL SOCIETY LEGAL RELEASE OF RESPONSIBILITY TOLEDO ZOOLOGICAL SOCIETY LEGAL RELEASE OF RESPONSIBILITY Dear Parent(s) /Guardian(s): The Toledo Zoological Society is pleased to have you and/or your son/daughter as a participant in its overnight program.

More information

Extra Fees: AUTUMN/SPRING TERMS WINTER TERM Ski Beginners Y6 Y9 n/a 6,000 Swimming Beginners Y6 Y9 1,500

Extra Fees: AUTUMN/SPRING TERMS WINTER TERM Ski Beginners Y6 Y9 n/a 6,000 Swimming Beginners Y6 Y9 1,500 FINANCIAL CONDITIONS SCHOOL YEAR 2018-19 - Boarding A/ Registration fee and guarantee deposit One-time registration fee: CHF 2,000 (student file, entrance examinations, visits, etc.). Non-refundable. This

More information

2015 Costa Rica Registration Checklist

2015 Costa Rica Registration Checklist 2015 Costa Rica Registration Checklist Complete Online Registration at the link that was emailed to you. Online registration system closes at 5:00 p.m. EST on January, 15, 2015. Complete the Costa Rica

More information

DCU. Summer Scholars 2018 Summer Programme (2-week) Application Form. For Secondary School Students (12-17 years) Application Deadlines

DCU. Summer Scholars 2018 Summer Programme (2-week) Application Form. For Secondary School Students (12-17 years) Application Deadlines DCU Summer Scholars 2018 Summer Programme (2-week) Application Form For Secondary School Students (12-17 years) Application Deadlines Early Application Deadline Friday, 26 th January 2018 Financial Aid

More information

Maury ES & Tyler ES Polite Piggy s Before and After School Requirements

Maury ES & Tyler ES Polite Piggy s Before and After School Requirements Maury ES & Tyler ES Polite Piggy s Before and After School Requirements Polite Piggy s Registration Application, permission slip, health form, media release form Income Verification and Policies A. If

More information

Students enrolling after the deadline must send all payments previously due with the applications, plus the $200 late fee.

Students enrolling after the deadline must send all payments previously due with the applications, plus the $200 late fee. APPLICATION REQUIREMENTS Initial applications will only be accepted and considered completed when they are submitted with the following materials: Application form completed with all information requested.

More information

INTENSIVE TRAINING COURSE (under 18 s) with full board 2018 INSCRIPTION FORM NAME : SURNAME : ADDRESS : POSTAL CODE : TOWN : COUNTRY :.. TEL :..././.

INTENSIVE TRAINING COURSE (under 18 s) with full board 2018 INSCRIPTION FORM NAME : SURNAME : ADDRESS : POSTAL CODE : TOWN : COUNTRY :.. TEL :..././. INSCRIPTION FORM NAME : SURNAME : DATE OF BIRTH :... SEX : male female ADDRESS : POSTAL CODE : TOWN : COUNTRY :.. TEL :...././. TENNIS LEVEL For non-classified players : How long have you been playing

More information

CTY Ireland Summer Programme (3-week) Application Form. For Year Olds With exceptional academic ability OVERSEAS STUDENTS

CTY Ireland Summer Programme (3-week) Application Form. For Year Olds With exceptional academic ability OVERSEAS STUDENTS CTY Ireland 2017 Summer Programme (3-week) Application Form For 12-17 Year Olds With exceptional academic ability OVERSEAS STUDENTS Application Deadlines Early Application Deadline Friday, 27 th January

More information

Fellowship Baptist Church Youth Ministry Permission Forms

Fellowship Baptist Church Youth Ministry Permission Forms Fellowship Baptist Church Youth Ministry Permission Forms Fellowship Baptist Church, Youth Ministry, and Volunteers Are Designated By The Abbreviation FBC Throughout This Entire Form GENERAL PERMISSION

More information

ECE Travel LTD. Standard Terms and Conditions. with

ECE Travel LTD. Standard Terms and Conditions. with ECE Travel LTD Standard Terms and Conditions with The following booking conditions, together with the information set out on the relevant programme itinerary from ECE will form the contract between your

More information

International Student and Scholar, Visitor Travel Assistance Services

International Student and Scholar, Visitor Travel Assistance Services International Student and Scholar, Visitor Travel Assistance Services Including: Medical Evacuation and Repatriation Coverage 24 Hour Assistance Licensed Agents: VisitorGaurd.com Ph: +1 804 325 1385 Web:

More information

2015 Camp Counselors USA Counselor Program Agreement Hungary

2015 Camp Counselors USA Counselor Program Agreement Hungary Acceptance and Placement at a Camp 1. To apply to the Camp Counselors USA program you will be required to pay Program Fees (all payments should be made out to CCUSA): First Time Applicants: 1. Application

More information

INESLE - Spanish Summer Program in Madrid - SPAIN

INESLE - Spanish Summer Program in Madrid - SPAIN INESLE - Spanish Summer Program in Madrid - SPAIN TERMS AND CONDITIONS - Form 0 Student Name: Gender: M F Date of Birth: / / Social Security Number: Month/Day/Year Home Address: Street and Apt Number City

More information

SUMMER YOUTH PROGRAMS 2018 PARTICIPATION INFORMATION FORM

SUMMER YOUTH PROGRAMS 2018 PARTICIPATION INFORMATION FORM SUMMER YOUTH PROGRAMS 2018 PARTICIPATION INFORMATION FORM Personal Information Child s Name Age of Birth Parent/Legal Guardian 1 Phone Parent/Legal Guardian 2 Phone Address Alternate Phone work cell other

More information

STUDENT S PARENT S

STUDENT S   PARENT S application form PERSONAL DETAILS (please write clearly using BLOCK CAPITALS) FIRST NAME: FAMILY NAME: MALE: NATIONALITY: FEMALE: DATE OF BIRTH: AGE WHEN COURSE STARTS: NAME OF PARENT/GUARDIAN: CORRESPONDENCE

More information

Terms & Conditions. 1. Course Bookings

Terms & Conditions. 1. Course Bookings English in Cyprus (trading under Epicalter Holdings Ltd) is committed to providing you with simple, clear and understandable Terms and Conditions. Please read them carefully and should you have any questions,

More information

INTERNATIONAL STUDENT PLACEMENTS SONOMA STATE UNIVERSITY STUDENTS (SSALI)

INTERNATIONAL STUDENT PLACEMENTS SONOMA STATE UNIVERSITY STUDENTS (SSALI) INTERNATIONAL STUDENT PLACEMENTS SONOMA STATE UNIVERSITY STUDENTS (SSALI) Program Information (ISP) coordinates host home placements for international students wishing to experience the American way of

More information

Please print and submit your study abroad application and deposit to the FVCC Business Office in Blake Hall.

Please print and submit your study abroad application and deposit to the FVCC Business Office in Blake Hall. 2018 Conservation Ecology in Ecuador/ Galapagos Islands Deposit Form Please print and submit your study abroad application and deposit to the FVCC Business Office in Blake Hall. Upon receipt of your deposit

More information

PDF Booking Form. Tour or Group Name:

PDF Booking Form. Tour or Group Name: PDF Booking Form Tour or Group Name: _ Contact name, phone & email (NB: If the traveler is under 21, the contact person must be a parent/guardian): Name: Daytime phone: Evening phone: Email: Mailing address:

More information

STUDENT UNDERSTANDING AND AGREEMENT LEHIGH UNIVERSITY SANCTIONED PROGRAMS ABROAD

STUDENT UNDERSTANDING AND AGREEMENT LEHIGH UNIVERSITY SANCTIONED PROGRAMS ABROAD STUDENT UNDERSTANDING AND AGREEMENT LEHIGH UNIVERSITY SANCTIONED PROGRAMS ABROAD This Student Understanding and Agreement (the Agreement ) is a legally binding contract between Lehigh University (referred

More information

The Mercado. Dear members of the Conventions Forum,

The Mercado. Dear members of the Conventions Forum, The Mercado Dear members of the Conventions Forum, It is with great pleasure that we invite you to participate in the first ECM Workshop: the Mercado that will take place on March 26-28, 2009 in Montreux,

More information

New York City Trip Permission Form

New York City Trip Permission Form The 8 th grade will be attending a trip to: NEW YORK CITY Date June 3 June 5, 2015 Location NEW YORK CITY Cost $550.00 ($150.00 non-refundable deposit due November 10, 2014) Transportation Bus cost included.

More information

Registration Form - Contract

Registration Form - Contract Contact information STUDENT OVERNIGHT TRIP Registration Form - Contract Student s first name Student s last name (as it appears on your Student ID) Address Postal code Telephone Cellphone you will be travelling

More information

University of Florida 4-Week France Program Summer 2009

University of Florida 4-Week France Program Summer 2009 Application Procedure University of Florida 4-Week France Program Summer 2009 1. Complete the AIFS application form, securing the signature of your university s study abroad program coordinator, and thus

More information

Universal Satori Learning Centers, Inc. Extended-day/After-School Hours Program Parent/Guardian Contract

Universal Satori Learning Centers, Inc. Extended-day/After-School Hours Program Parent/Guardian Contract Universal Satori Learning Centers, Inc. Extended-day/After-School Hours Program Parent/Guardian Contract *REGISTRATION: The registration fee is $60 per student, and is due upon enrollment. This is a non-refundable

More information

Study Abroad Costa Rica 2016

Study Abroad Costa Rica 2016 How to turn in this application: Scan and email to ckoch@coloradomtn.edu. Study Abroad Costa Rica 2016 Fax to 970 569-3309 Attn: Carol Koch. Mail Colorado Mountain College Attn: Carol Koch 150 Miller Ranch

More information

2016 OUCI Chinese Bridge Summer Camp Application

2016 OUCI Chinese Bridge Summer Camp Application STUDENT INFORMATION Name (as it appears on your passport) Passport # Passport Expiration Date DOB Gender Cell Phone Email Address City State Zip PARENT/GUARDIAN INFORMATION Parent Phone Email Parent Phone

More information

CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR

CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR Please print clearly. Completion of the registration process is required for each participant prior to program start

More information

TENNIS TRAINING COURSES & FRENCH LESSONS (for under 18 s) WITH FULL BOARD AND LODGINGS AT ARCACHON TENNIS CLUB. 24-HOUR SUPERVISION 2016

TENNIS TRAINING COURSES & FRENCH LESSONS (for under 18 s) WITH FULL BOARD AND LODGINGS AT ARCACHON TENNIS CLUB. 24-HOUR SUPERVISION 2016 ENROLLMENT CONDITIONS: 1) Enrolment procedure The following completed forms must be sent to the following address : ACADEMIE DE TENNIS FRANCK LEROUX, TENNIS CLUB D ARCACHON 7, avenue du Parc 33120 ARCACHON

More information

Registration Form. DigiPen Institute of Technology Singapore ProjectFUN Workshops 2016 I) PERSONAL INFORMATION. II) FEES AND CONDITIONS Page 1 of 9

Registration Form. DigiPen Institute of Technology Singapore ProjectFUN Workshops 2016 I) PERSONAL INFORMATION. II) FEES AND CONDITIONS Page 1 of 9 Registration Form SELECT WORKSHOP(S) COST: $330.00 per workshop (inclusive of 7% GST). TIME: Starts at 9:00 a.m, Ends at 5:00 p.m. Introduction to 2D Video Game Programming Level 1: 30 November to 2 December

More information

Parent & Camper Handbook/Manual

Parent & Camper Handbook/Manual SLAM Sports Summer Camp Parent & Camper Handbook/Manual 2014 SLAM 5 5 5 SLAM 326-0003. SLAM SLAM SLAM Charter schools's d SLAM Academy 25.00 9:00 4 120.00 SLAM 5 5 SLAM SLAM SLAM SLAM main lobby of the.

More information

Lille Exchange Program

Lille Exchange Program Lille Exchange Program Application to travel to Lille Please read over all forms carefully and complete all sections of the application before returning it to Mrs. Thomasson. While hosting a Lille student

More information

Oregon 4-H Member Enrollment Form

Oregon 4-H Member Enrollment Form Oregon 4-H Member Enrollment Form County 4-H Club (s) Family Information: New Enrollment.. Re-enrollment. Youth Leader.. Family Last Name Family E-mail Family Primary Phone Family Mailing Address Street/Mailing

More information

Location of IIT Start date (MONTH) Start date (DAY) Start date (YEAR)

Location of IIT Start date (MONTH) Start date (DAY) Start date (YEAR) 2011 International Intensive Training (IIT) Program Application The Center for Nonviolent Communication 5600 San Francisco Road NE, Suite A Albuquerque, NM 87109 U.S.A. Tel: +1 505 244 4041 (toll free

More information

FASHION INSTITUTE OF TECHNOLOGY OFFICE OF INTERNATIONAL PROGRAMS AGREEMENT FOR ASSUMPTION OF RISK AND RELEASE FOR INTERNATIONAL STUDY

FASHION INSTITUTE OF TECHNOLOGY OFFICE OF INTERNATIONAL PROGRAMS AGREEMENT FOR ASSUMPTION OF RISK AND RELEASE FOR INTERNATIONAL STUDY FASHION INSTITUTE OF TECHNOLOGY OFFICE OF INTERNATIONAL PROGRAMS AGREEMENT FOR ASSUMPTION OF RISK AND RELEASE FOR INTERNATIONAL STUDY Students accepted to participate in international academic activities

More information

LINGNAN UNIVERSITY Office of Mainland and International Programmes

LINGNAN UNIVERSITY Office of Mainland and International Programmes IMPORTANT NOTES Please read the following carefully before you fill in the application. 1 Use of Information in the Application The information provided by an applicant will be used for the following purposes:

More information

2017 SUMMER DANCE PROGRAM NEWTON REGISTRATION AGREEMENT

2017 SUMMER DANCE PROGRAM NEWTON REGISTRATION AGREEMENT Student ID: (Office use only) Parent ID: (Office use only) 863 Washington Street, Newtonville, MA 02460 SDP@bostonballet.org 2017 SUMMER DANCE PROGRAM NEWTON REGISTRATION AGREEMENT This form must be accompanied

More information

STUDY ABROAD APPLICATION AND DEPOSIT

STUDY ABROAD APPLICATION AND DEPOSIT Please print, sign, staple and submit your study abroad application and deposit to the FVCC Business Office in Blake Hall. Upon receipt of your deposit and study abroad application, FVCC will contact you

More information

SEWAFRICA APPLICATION FOR REGISTRATION PART TIME PATTERN MAKING

SEWAFRICA APPLICATION FOR REGISTRATION PART TIME PATTERN MAKING SEWAFRICA Attach Photograph Here APPLICATION FOR REGISTRATION PART TIME PATTERN MAKING Please complete all sections of the application form: Personal Information of Student Surname: Id Number: Race: Gender:

More information

Medical Waiver and Release/Authorization for Treatment:

Medical Waiver and Release/Authorization for Treatment: Medical Waiver and Release/Authorization for Treatment: I hereby give my consent to Summerfuel Sports personnel to provide, through a medical staff of its choice, any and all medical attention and emergency

More information

Word of Life Florida Retreat Center Rental and Use Packet as of July 28, 2016 flconference.wol.org

Word of Life Florida Retreat Center Rental and Use Packet as of July 28, 2016 flconference.wol.org Word of Life Florida Retreat Center Rental and Use Packet as of July 28, 2016 flconference.wol.org CONDITIONS FOR USE I. Groups using Word of Life Florida must provide the following: a. Linens, pillows,

More information

Upper Natoma Rowing Club Junior Member Application (Please print clearly)

Upper Natoma Rowing Club Junior Member Application (Please print clearly) Upper Natoma Rowing Club Junior Member Application (Please print clearly) Name Birth Date Address City State Zip Code Phone Numbers (Home) Athlete (Cell) Athlete E-mail address School Graduation Year USRA

More information

Applications to BTK Summer School 2016 can be sent via to the International Office at until June 30th 2016.

Applications to BTK Summer School 2016 can be sent via  to the International Office at until June 30th 2016. BTK Summer School 2016 - Terms and Conditions SUMMER SCHOOL Arrival: 24th July 2016 Classes: 25th July 05th August 2016 Departure: 06th August 2016 1. APPLICATION DEADLINES Applications to BTK Summer School

More information

Field Trip Forms and Procedures

Field Trip Forms and Procedures EAST SIDE UNION HIGH SCHOOL DISTRICT Instructional Services Division Julianna Arreola Administrative Secretary Phone: 347-5061 FAX: 347-5065 Email: arreolaj@esuhsd.org Field Trip Forms and Procedures Student

More information

Our Lady s Sports Centre Community Use Lettings Policy

Our Lady s Sports Centre Community Use Lettings Policy Our Lady s Sports Centre Community Use Lettings Policy The Purpose of the Policy The purpose of this policy is to set out the basis under which school facilities may be used by third parties when not required

More information

CRIMINAL JUSTICE SUMMER CAMP 2015 at Glenville State College Sunday, July 19th - Thursday, July 23rd

CRIMINAL JUSTICE SUMMER CAMP 2015 at Glenville State College Sunday, July 19th - Thursday, July 23rd CRIMINAL JUSTICE SUMMER CAMP 2015 at Glenville State College Sunday, July 19th - Thursday, July 23rd Demonstrations from different types of law enforcement Learn about identifying suspects Use state-of-the-art

More information

Lake Washington Rowing Club

Lake Washington Rowing Club Lake Washington Rowing Club 2018 Junior Rowing Program Participant Information Form Participant Information (all fields must be filled out),, Last Name First Name Today s Date Mailing Address Birthdate

More information

Office of Global Studies Student Agreement

Office of Global Studies Student Agreement Office of Global Studies Student Agreement Name: X Number: Program: Semester/Year of Participation: E-mail: Cell: In consideration for being permitted to participate in a St. John s University, Office

More information

Registration Form FUBiS Term II 2019

Registration Form FUBiS Term II 2019 Registration Form FUBiS Term II 2019 Freie Universität Berlin International Summer and Winter University (FUBiS) May 25 July 06, 2019 Please complete this application form using your computer and send

More information

2019 International Tour Itinerary Sockers FC

2019 International Tour Itinerary Sockers FC Departure: Saturday, June 29 th, 2019 departure from Chicago airport. Arrival: Sunday, June 30 th arrival at Lisbon airport, after going through customs and collecting your luggage you will go to the bus

More information

SNOW TRIPPIN This is a competitively priced tour which will provide between students a week of a wonderful ski experience.

SNOW TRIPPIN This is a competitively priced tour which will provide between students a week of a wonderful ski experience. SNOW TRIPPIN 2013 23 November 2012 Dear Students / Parents / Guardians This is the first notice to parents of students interested in attending the 2013 Ski Trip. The trip is open to years 10-12. The tour

More information

(Please read carefully to make sure that all information is correct. A separate registration form must be completed for each participant)

(Please read carefully to make sure that all information is correct. A separate registration form must be completed for each participant) (Please read carefully to make sure that all information is correct. A separate registration form must be completed for each participant) This form must be filled out even if registered online to provide

More information

2016 University of Delaware High Performance Figure Skating Center Summer Skating School Application Form

2016 University of Delaware High Performance Figure Skating Center Summer Skating School Application Form 2016 University of Delaware High Performance Figure Skating Center Summer Skating School Application Form Weekly Summer Ice Package Contract (27 June 2016 29 July 2016) Application will not be processed

More information

Jackson County 4-H Member Enrollment Form Fair Eligibility Deadline February 15, 2019

Jackson County 4-H Member Enrollment Form Fair Eligibility Deadline February 15, 2019 Jackson County Extension Service 569 Hanley Road, Central Point, OR 97502 541-776-7371 Family Information: Make check payable to: OSU Extension Service Jackson County 4-H Member Enrollment Form Fair Eligibility

More information

Be A Paleontologist For A Week!

Be A Paleontologist For A Week! Be A Paleontologist For A Week! Join Science Center staff as we trek to eastern Montana to experience life as a paleontologist! During the week you will prospect for fossils of both dinosaurs and other

More information

DCU Summer Scholars Application Form 2019

DCU Summer Scholars Application Form 2019 DCU Summer Scholars Application Form 2019 PLEASE TYPE OR PRINT LEGIBLY IN INK. BE SURE TO COMPLETE ALL INFORMATION Student Information CTYI Student No. (as per mailing envelope) Full Name Last Name First

More information

Performing Arts Academy

Performing Arts Academy Please complete this form and bring it to auditions Performing Arts Academy 4400 Lewis St. Middletown, OH 45044 513-594-7242 MUSICAL THEATRE REGISTRATION FORM ENROLLMENT FOR SUMMER 2018 STUDENT NAME BIRTH

More information

American University DC Math Circle Consent and Release Agreement. Participant s Name: ( Participant ) Date of Birth: Participant s Address:

American University DC Math Circle Consent and Release Agreement. Participant s Name: ( Participant ) Date of Birth: Participant s Address: American University Consent and Release Agreement Participant s Name: ( Participant ) of Birth: Participant s Address: s of Program: January 2018-April 2018 Name of Program: ( Program ). Description of

More information

Travel Arrangements and Expenses Reclaim

Travel Arrangements and Expenses Reclaim 1 Introduction... 1 2 Benefits of using the JACIE travel agent:... 1 3 Travel arrangements... 2 4 Per diem allowance... 3 5 Travel insurance... 4 6 Local travel... 4 7 Use of your own car... 4 8 Rental

More information

Oregon 4-H Member Enrollment Form Enrollment Deadline December 10 th

Oregon 4-H Member Enrollment Form Enrollment Deadline December 10 th Lake County Extension Service 103 South E St, Lakeview OR 97630 541-947-6054 $25 Enrollment Fee (Make check payable to: 4-H Association) Family Information: Oregon 4-H Member Enrollment Form Enrollment

More information

International Montessori Nursery حضا نة المونتيسورى العالمية

International Montessori Nursery حضا نة المونتيسورى العالمية Registration Form 2016/2017 Please complete this registration form in full and ensure that all information is accurate and correct. We will not be able to accept your child until we have all the completed

More information

5-STAR ACADEMY OF PERFORMING ARTS Student Registration Packet- WINTER 2019

5-STAR ACADEMY OF PERFORMING ARTS Student Registration Packet- WINTER 2019 5-STAR ACADEMY OF PERFORMING ARTS Student Registration Packet- WINTER 2019 STUDENT NAME: BIRTH DATE: GENDER: _ ADDRESS: PARENT NAME: PARENT EMAIL: PARENT PHONE NUMBER: PARENT WORK NUMBER: SECONDARY CONTACT

More information

Booking Form: City Football Language School 2018

Booking Form: City Football Language School 2018 Booking Form: City Football Language School 2018 Thank you for choosing the City Football Language School. Please complete this form in BLOCK CAPITALS and return it to info@cityfootball-language.com By

More information

CLAIM FORM FREQUENTLY ASKED QUESTIONS

CLAIM FORM FREQUENTLY ASKED QUESTIONS CLAIM FORM FREQUENTLY ASKED QUESTIONS Q: How long will it take for me to receive a response to my claim? A: We are committed to provide a quality service, our claims team will review the documentation

More information

Middle School Mathematics Camp Monday through Thursday 9:00am 1:00pm

Middle School Mathematics Camp Monday through Thursday 9:00am 1:00pm Monday through Thursday 9:00am 1:00pm Registration Form Name last first middle Mailing Address street city state zip School Gender School District Grade in September 2018 (6, 7, 8, or 9) Phone # Age Tee-shirt

More information

Check payable to EmilyAnn Theatre. (Please include student s name and SUS on memo line of check). Payment by Credit Card:

Check payable to EmilyAnn Theatre. (Please include student s name and SUS on memo line of check). Payment by Credit Card: --Student Information-- (College Students interested in internships, please e-mail resume to bridget@emilyann.org.) Please type or print clearly. Student s Name Grade Level in Fall 2013 Age Birth Date

More information

1.6 Parent/ Guardian": The parent/ guardian of the Student

1.6 Parent/ Guardian: The parent/ guardian of the Student Terms And Conditions The Ingenium Academy Ltd 1. Definitions The following terms shall have the following meanings in this Agreement: 1.1 Academy": the summer school academy run by the company The Ingenium

More information

SJY STEUBENVILLE PILGRIMAGE ORLANDO, FL 2018 TEEN REGISTRATION PACKET

SJY STEUBENVILLE PILGRIMAGE ORLANDO, FL 2018 TEEN REGISTRATION PACKET SJY STEUBENVILLE PILGRIMAGE ORLANDO, FL 2018 TEEN REGISTRATION PACKET Item Page Instructions...1 Schedule and Costs (including other information)...2 Fundraising and Financial Aid Information... 3 SJY

More information

STUDY AWAY APPLICATION PACKET: NEW YORK CITY (Fall 2017)

STUDY AWAY APPLICATION PACKET: NEW YORK CITY (Fall 2017) STUDY AWAY APPLICATION PACKET: NEW YORK CITY (Fall 2017) Trip Dates Saturday, January 6 to Saturday, January 13, 2018 The application packet has four sections: 1. Conditions of Participation 2. Publicity

More information

El Rincon (310)

El Rincon (310) 2015 2016 El Rincon (310) 736-8575 Welcome to STAR, STAR, Inc. is a charitable 501(c)(3) non-profit education organization serving kids, families, schools, and communities. For your convenience, the Galaxy

More information

Thank you for contacting BIG4 Beachlands Holiday Park regarding Leavers 2018.

Thank you for contacting BIG4 Beachlands Holiday Park regarding Leavers 2018. Thank you for contacting BIG4 Beachlands Holiday Park regarding Leavers 2018. Here at BIG4 Beachlands we have been hosting Leavers for over 20 years. We welcome these young adults into our park to enable

More information

CSLI POLICIES AND PROCEDURES

CSLI POLICIES AND PROCEDURES 1 of 9 Revised: December 27, 2016 Robin Hemmingsen CSLI POLICIES AND PROCEDURES CSLI Inc. is accredited by Languages Canada, is a designated institution by BC EQA and PTIB, a member of Tourism Vancouver

More information

Wembley Cup Wembley Stadium, London Saturday 7th October

Wembley Cup Wembley Stadium, London Saturday 7th October Wembley Cup Wembley Stadium, London Saturday 7th October Travel arrangements and times: Please keep this information for future reference. Travel by Coach. Unless you make arrangements to the contrary,

More information

REGISTRATION & PERMISSION FORM Capture Canada Program

REGISTRATION & PERMISSION FORM Capture Canada Program REGISTRATION & PERMISSION FORM 2018-2019 Capture Canada Program Capture Canada is a comprehensive long weekend program for students during the School s five break weekends. The program offers faculty-supervised

More information

APPLICATION FORM FRENCH STREAM KINDERGARTEN & PRIMARY SCHOOL SCHOOL YEAR : 20. / 20. CLASS :.

APPLICATION FORM FRENCH STREAM KINDERGARTEN & PRIMARY SCHOOL SCHOOL YEAR : 20. / 20. CLASS :. Administration Pupil Code: APPLICATION FORM FRENCH STREAM KINDERGARTEN & PRIMARY SCHOOL SCHOOL YEAR : 20. / 20. CLASS :. Child s last name :.. First Names (underline the name used):... Sex : Male Female

More information

Age : Under 18. Parents of Potential 2016 Atlantic Team Members. From: Angela Gallant, Executive Director. Atlantic Championships St.

Age : Under 18. Parents of Potential 2016 Atlantic Team Members. From: Angela Gallant, Executive Director. Atlantic Championships St. GYMNASTICS NOVA SCOTIA 5516 Spring Garden Road,4 th floor, Halifax, NS B3J 1G6 Tel: (902)425-5450, ext. 338, fax: (902)425-5606 Web page: www.gymns.ca e-mail: gns@sportnovascotia.ca Age : Under 18 To:

More information

East Carolina University Division of Continuing Studies Summer Study Abroad Program Application

East Carolina University Division of Continuing Studies Summer Study Abroad Program Application GPA Verified East Carolina University Division of Continuing Studies Summer Study Abroad Program Application 2008-2009 Yes Application Instructions: 1. Complete the application forms and attach a $75.00

More information

APPLICATION FORM. Please fill in the white spaces

APPLICATION FORM. Please fill in the white spaces APPLICATION FORM Please fill in the white spaces Mr. / Ms./ Mrs. (NAME) (SURNAME) M F (GENDER) (DATE OF BIRTH) (PLACE OF BIRTH: Country and City) (NATIONALITY) (NATIVE LANGUAGE) (PROFESSION) (ADDRESS,

More information