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Junior Enrolment Form
Personal Information
You can complete all of your enrolment details in the simple form below. It is very important that you first read our Junior Course Fees document. Please make sure the course you select is available for the dates you require and take a note of any additional fees and our terms and conditions. Once your form is submitted a member of our team will check your details before sending final payment instructions. If you have any questions at all please contact us.
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Name of person making the booking:
Phone Number for person making booking:
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Main contact Email
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Name of Junior
Phone number for Junior
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Child's Gender
Male
Female
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Date of Birth
*
How many people are travelling in your group?
*
Names of people travelling in group?
*
Nationality
*
Home Address
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Are you in good health?
Yes
No
Details of medical conditions & medication | Details of allergies, physical or dietary restrictions | Details and scale of any special learning needs | Details such as mental health issues
Course Information
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Course Start Date
Course End Date
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Number of weeks:
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Which course would you like to take?
Junior English & Surfing
Junior English & Riding
Junior English & Multi Activity
Junior English & Riding/Surfing
Junior English, Surfing & Multi Activity
Junior English, Riding & Multi Activity
Junior Surf Camp
Junior Pony Camp
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What is your level of English?
Beginner - I don't understand or speak English
Elementary - I can say a few basic things
Pre-Intermediate - I can speak a little on most subjects
Intermediate - I can understand conversations and speak well
Upper-Intermediate - I can speak confidently and quickly with a few mistakes
Advanced - I speak fluently with very few mistakes
If you have chosen English & Surfing/Riding, what is your level?
Beginner
Intermediate
Advanced
For Horse Riders which of the following are you competent at?
Riding at walk
Trotting with stirrups
Trotting without stirrups
Cantering
Can jump to 70cm
How long have you been riding/surfing
How often do you ride/surf?
Other riding experience?
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Your Weight
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Your Height
Accommodation
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Do you require accommodation?
Bundrowes Residential
Portbeg Residential
Host Family
Self Catering
I will make my own arrangments
If Host Family is selected, please provide any special requirements and give a short introduction of yourself.
If arranging your own accommodation, please provide details
Travel Information
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Do you wish to be collected?
Yes please
No thanks
Arrival location, date, time and flight number (if applicable)
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Do you wish to be dropped off?
Yes please
No thanks
Departure location, date, time and flight number (if applicable)
Important Information
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Emergency Contact Name:
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Relationship to Student
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Emergency Phone:
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Emergency Email:
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Name of person who will be making payment
*
Where did you hear about us?
If you are carrying your booking forward from 2020 please give us the original invoice number
*
Please tick to agree to our terms and conditions
I Agree