Immersion Programme - Booking Form

For all group bookings, above 5 or more, please enquire with Amie Newell - Boarding Recruitment Manager at anewell@ratcliffecollege.com, to secure your place.

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3 in stock

How long will you be joining the programme for?

Programme Attending *

How would you like to pay? *

Gender *

T-shirt / Jumper size of child *

Child's First Name *

Child's Last Name *

Child's Date of Birth *

Child's Year Group *

Child's Nationality *

Child's Country of Birth *

Child's Home Address *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Telephone Number *

Please include country code

Parent/Guardian Email Address *

Child's Favourite subject(s) of Interest

Child's Hobbies

Child’s First Language

English Language Level of Child

Has your child attended an International Course abroad before? *

Has your child attended an International Course at Ratcliffe before?

Transfers Required?

Where to and from?

Please confirm Transport

If other, please confirm

Transfer Confirmation *

I can confirm that I would like free transfers from the College included, from either Birmingham International or London Heathrow?

Booking Via an Agent?

Agent Company Name *

Agent Full Name *

Agent Email Address *

Agent Website

Marketing Consent

We consent for photos/videos of students that may be used for marketing purposes.

We do not consent for photos/videos of students that may be used for marketing purposes.

How did you hear about this programme?

ID/Passport *

Please provide your photographic ID

Terms and Conditions

Read our Terms and Conditions Here

All holders of parental responsibility for the child named above have signed this Acceptance Form and that no one else holds parental responsibility for him or her.

We, as holders of parental responsibility for the child named above, live together / separately at the address(es) shown below and we agree to notify the College immediately of any change of address or our family circumstances.

We give our permission for our child to participate in all supervised activities on and off the International Short Course premises which are part of the International Short Course programme.

We confirm that we will provide the appropriate level of travel and medical insurance cover.

IMPORTANT – when you complete, sign and submit this Acceptance Form and pay the programme fees, you and the College enter into a legally binding contract, upon the International Short Course Programme’s Terms and Conditions.

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Please sign below to agree to the terms and conditions:

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