Swandean School of English: Wimbledon Enrolment Form

Enrolment form

This form can be sent online but must be followed by a £100 deposit to:

The Registrar
Swandean School of English
12,Stoke Abbott Road
Worthing, West Sussex
BN11 1HE, England

Please read the notes and conditions on the relevant course information page.

Enrolment form
Course required (please state course name)
Course start date
Course length (weeks)
Family name
First name
Date of birth
Nationality
Sex	Male Female
Street (include Apt.no and street no., if applicable)
Town
Region/State/Province
Post / Zip Code
Country
Email
Telephone
Fax
Occupation
Do you smoke?	Yes No
Hobbies/interests
English level	Elementary Intermediate Higher Intermediate Advanced
Do you want us to arrange homestay accommodation for you?	Yes No
What type of room do you want?	Single Twin bedded
Accommodation start date
Accommodation end date
Do you wish to be met at the airport	Yes No
If yes, arrival date
Arrival time
Arrival airport
Flight number
Do you want the school to arrange medical insurance? (£15 per 4 week period)	Yes No
Please give details of any medical condition that the school or homestay hosts should know about
Who introduced you to Swandean School?
State any other special requirements
Method of sending £100 deposit as part payment of fees:	Cheque Bank transfer VISA card Mastercard
(Please note: until we receive your deposit we cannot proceed with your enrolment)
Date payment sent
By sending this form to Swandean, I agree to the enrolment conditions and am forwarding £100 in part payment of fees for my course.
Signature (if faxing or mailing this form):
Date
Signature of parent or guardian (if under 20):