First name. *

Family name *

Nationality *

Street and house number *

City *

Postcode *

Country *

Phone *

Phone 2

Email *

Date of Birth * (dd/mm/yyyy)

M/F Male
Female

I am a teacher of English
Another subject with some requirement to teach in English (CLIL)
Both

Approximate current English level Intermediate (B1/B2)
Advanced (C1/C2)

I would like to enrol for the following course(s): * Course 1 - Programme A. 4th-9th August (arr 3/8, dep 10/8)
Course 2 - Programme B. 11th-16th August (arr 10/8, dep 17/8)
Course 3 - Programme A. 18th-23rd August (arr 17/8, dep 24/8)
Course 4 - Programme B. 25th-30th August (arr 24/8, dep 31/8)

You should plan to arrive on the day before your course starts and to leave the day after it finishes.
If you wish to arrive a little earlier and/or leave later, that is fine, of course, but you will need to organise your own accommodation for any extra days before or after the course.

Arrival date Flight Number - arrival

Departure date Flight Number - departure

Taxi transfer to/from homestay accommodation Yes, please book a taxi for me
No, I will arrange my own transfer

Do you smoke? Yes

Smoking – It is now very difficult to accommodate smokers, due to changes in legislation and because smoking is not allowed by most families in private homes (some allow it in the garden). We cannot guarantee to find you accommodation where smoking is allowed inside.

Are you: Vegetarian
Vegan
Lactose intolerant
Coeliac

Please let us know if you have any serious allergies (eg to cats, peanuts).

Please let us know about any medical issues or other matters we should be aware of.

Name of first child.

Family name

Date of Birth (dd/mm/yyyy)

Gender Male
Female

Approximate current English level Elementary (A1/A2)
Intermediate (B1/B2)
Advanced (C1/C2)

Does this child like (tick all that apply)? Sports
Drawing / painting
History

Please let us know about any other interests or notes about this child we should be aware of.

Does this child have any dietary issues we should be aware of? Vegetarian
Vegan
Lactose intolerant
Coeliac

Please let us know if this child has serious allergies (eg to cats, peanuts).

Please let us know about any medical issues or other matters we should be aware of for this child.

Name of second child.

Family name

Date of Birth (dd/mm/yyyy)

Gender Male
Female

Approximate current English level Elementary (A1/A2)
Intermediate (B1/B2)
Advanced (C1/C2)

Does this child like (tick all that apply)? Sports
Drawing / painting
History

Please let us know about any other interests or notes about this child we should be aware of.

Does this child have any dietary issues we should be aware of? Vegetarian
Vegan
Lactose intolerant
Coeliac

Please let us know if this child has serious allergies (eg to cats, peanuts).

Please let us know about any medical issues or other matters we should be aware of for this child.

Are you coming with a friend or colleague? If yes, please give their name(s):

Have you accompanied a group to an English Naturally Centre in the past? If yes, please give the name of the school

When did you come? mm/yyyy

Which centre did your group come to? Winchester
Salisbury
Petersfield
Lymington
Romsey

How did you hear about English Naturally?

Please add any useful notes for us in relation to your booking

I have read your terms and conditions* Yes

You do not need to pay when you enrol. Once everything is finalised we will send you an invoice to be paid one month before arrival.