IH Oxford English for young learners summer 2013 application form

English for Young Learners.
Application form, dates and fees 2013
2013
Please complete the form in BLOCK CAPITALS
Participants details
Family name:
First name(s):
Nationality:
First language(s):
Sex: Male Female Date of birth: / / Country of birth:
Home address:
City:
Country:
Student mobile number:
Have you been on a course at St Edward’s School in Oxford before?: No Yes
Mobile number or email address to contact you in the time between your
arrival in London and the start of your course if different from above:
Do you have a learning difficulty or disability?
If yes please give details below:
Yes
No
Parent/Guardian’s details
Family name:
First name(s):
First language(s):
Address:
City:
Country:
Contact telephone number(s):
Email:
Relationship to student:
Agent’s details (if applicable)
Company name:
Address:
City:
Country:
Contact name:
Contact telephone number(s):
Contact fax number:
Contact email:
Is this application form for an individual or as part of a group (please tick)
ihoxford.com

Courses
Please select your course dates
Length
Dates
Tick
Fees
Wednesday 10 – 24 July
2 weeks
Wednesday 17 – 31 July
Wednesday 24 July – 7 August
£1,890
Wednesday 31 July – 14 August
Wednesday 10 July – 31 July
3 weeks
4 weeks
Wednesday 17 July – 7 August
Wednesday 24 July – 14 August
Wednesday 10 July – 7 August
£2,835
£3,780
5 weeks
Wednesday 17 July – 14 August
Wednesday 10 July – 14 August
£4,725
Please select your course options
Option 1 – English Plus
6 hours per week of extra English lessons
Option 2 – English Active
6 hours per week of activities with professional coaches
For this option, please indicate how many weeks you’d like to do each activity, for
Golf
example: Tennis 2 Football 1 etc
Tennis
Drama
Football
Digital photography
Basketball
Dance
Accommodation
If your student would like to share a room with someone, please list their name(s) here:
Name:
Name:
Name:
NB: We cannot guarantee to be able to fulfil this request, however, we will try to do so
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Please post, fax or email this form to: IH Oxford c/o IH London, 16 Stukeley Street, London, WC2B 5LQ, United Kingdom Fax: +44 (0)20 7117 4177 Email: younglearners@ihoxford.com

Student Visas for studying in the UK
I require a Child Visitor Visa to study in the UK: No Yes
Please complete the details below if you DO need a visa:
Passport number: Passport expiry date (dd/mm/yy): / /
Passport country of issue:
Please send me the original copy of my supporting document for a child visitor visa application via post
by courier (£50.00 supplement)
Unaccompanied Minor Service
If your student is flying as an unaccompanied minor, a £25 supplement applies each way
NB : We recommend checking with your airline whether this service is obligatory for minors
Payment details
I will pay for my course by:
Sterling cheque Credit/bank card Bank transfer
(please tick)
Total cost of your programme
Course Fee £
Unaccompanied minor service, at £25 each way £
Visa document to be sent by courier, at £50 £
Bank Transfer £15 (if applicable) £
International House bank details:
Allied Irish Bank, 10 Berkeley Square, London W1J 6AA
Sort code: 23-83-97
A/c number: 01572087
A/c Name: International House Trust Ltd.
AIBKGB2L
Iban Number: GB78AIBK23839701572087
Payment to: International House
TOTAL COST £
I would like to pay total cost now
£450 deposit
Total cost must be paid at least 30 days before the course
start date
I agree to the IH London Terms and Conditions
Signature: Date: / /
If paying by Credit Card, please complete the details below:
Card number: Expiry date: / / Security code:
Name of cardholder:
I authorise International House to take the above amount from my credit card
Signature:
the parent/guardian
(please tick appropriate box)
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Please post, fax or email this form to: IH Oxford c/o IH London, 16 Stukeley Street, London, WC2B 5LQ, United Kingdom Fax: +44 (0)20 7117 4177 Email: younglearners@ihoxford.com

Terms and Conditions
www.ihoxford.com/terms-and-conditions
IH Oxford Younger Learner Courses
Edwards’ School and detailed in the IH Oxford Younger Learners
brochure. Please see separate terms and conditions for courses
carried out at International House London.
Travel
All travel details must be finalised at least 14 days prior to the start
of the course to guarantee an arranged airport transfer.
Conditions
All course places will be confirmed when either the deposit or full
fees have been received. Payment of the deposit fee is regarded
as acceptance of the booking terms & conditions and is nonrefundable.
Amendment Charges
Once a course has been confirmed, amendments will be allowed
at the discretion of International House and may be liable to an
administration charge of up to £50.
Cancellation If a booking is cancelled, we must be notified in
writing at the earliest opportunity. All cancellations will be
acknowledged in writing and the following terms apply:
• Cancel 30 days or more before the course begins = 50% of the
course fees will be refunded
• Cancel 29 days or fewer before the course begins, or once the
course has started = no refund of fees
NB:
Acceptance Conditions
We accept students on the assumption that they are of sound
health and are aged 12 to 17 at the time of their programme with
IH Oxford.
Injury/Loss
We do not accept responsibility for personal injury or for loss or
damage to personal property unless it is due to the negligence of
International House or its employees. Any valuables should be
the control of the company such as strikes, bad weather, war,
transportation delays, sickness or quarantine.
Behaviour
terms & conditions and of the rules published by the school,
these will be sent out along with the joining documentation.
regarding serious breaches of school rules, the centre manager
may at his/her discretion impose sanctions, including suspension
or expulsion. We reserve the right to dismiss any student whose
standard of conduct is unsatisfactory at the discretion of the centre
all costs incurred due to this must be paid for by the student.
Damage
All students are liable for loss or damage to school property
for which they are responsible. A deduction will be made from
students’ pocket money or an invoice sent to parents for any loss or
damage incurred.
Airport Transfers
We provide a meet & greet service together with transportation to
the school to/from London Heathrow Airport between 10.00 and
19.00 on designated arrival and departure days. At the airport, all
Medical
are also excellent links with local accident & emergency facilities.
We cannot accept students on the younger learner programme
unless the parents have signed and returned the completed
medical and personal information form. You must inform the
school of any specific information which is not included on the
form but which applies to the student. Any medication that a
student brings with them must be labeled in English and handed
We regret that any student arriving with a serious medical
condition not previously reported on the medical and personal
information form may be sent home with no refund of fees.
Food
or cold food. Most dietary requirements can be catered for.
Insurance All students must be covered by travel insurance in
the fees.
• Medical & associated expenses
• Cancellation/curtailment
•
electrical gadgets, such as iPods/iPads, laptops, mobile phones
etc)
• Loss of money
• Travel delay
A summary of cover will be sent to the student together with the
booking confirmation.
Force Majeure
In the event of ‘force majeure’ such as fire, flooding, infectious
diseases and other events outside the company’s reasonable
control which may cause the closure of the school, no refund of
fees will be made to students, except at the school’s discretion in
exceptional circumstances.
Disclaimer
All details are published in good faith as of August 2012. All
programmes are subject to availability and minimum class
numbers. We reserve the right to alter any particulars such as fees
at the discretion of the company. We reserve the right to cancel
any course or close the school for whatever reason.
alternative course for the same value.
Visas
have been received. If the visa application is refused or delayed
the student must inform the school in writing at least 14 days
before the start of the course. If the visa application is refused
before the start of the course, we will refund all fees except a £50
administration fee and any courier charges, providing that the
student follows UKBA guidelines.
If the student arrives at IH Oxford with the wrong type of visa, the
school is required by law to make arrangements for the student to
return home as soon as possible at their own expense.
Health & Safety
checked and undergo a period of training & orientation prior to
students arriving at the school. All the relevant student: teacher
ratios are adhered to as set out by the Children’s Act and relevant
governing bodies of language travel courses such as EnglishUK.
Please post, fax or email this form to: IH Oxford c/o IH London, 16 Stukeley Street, London, WC2B 5LQ, United Kingdom Fax: +44 (0)20 7117 4177 Email: younglearners@ihoxford.com