Application Form
Prince Bishop International Summer School
Student Information FormPlease fill in this form to provide us with additional information we require before a student attends one of our programmes or academies. This is to ensure that we can provide the student with a great experience during their time with us.
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How did you hear about us?*
*
Referral
Social Media
Google Search
School
Agent
Other
Choose the dates you want to attend. Note we are selling these in two week blocks
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6th July - 12th July
13th July-19th July
20th July-26th July
27th July- 3rd August
What school does your child attend?
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Name
*
First Name
Last Name
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Email
*
example@example.com
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Date of Birth
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Month
-
Day
Year
Date
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Gender
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Female
Male
Other
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What is your child's nationality?
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English Speaking Ability
*
My child is proficient in speaking English
My child needs support in speaking English
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English Writing Ability
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My child is proficient in writing English
My child needs support in writing English
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Student Medical and Dietary Information. Please add any relevant medical information here
*
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Do they have a medical condition or disability?
*
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Do they have any allergies?
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Is your child taking any medication?
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Does your child have a special diet?
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Yes
No
Can your child swim 25m or more?
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Yes
No
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I give permission for my child to swim at the aquapark , swimming pool and sea
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Choose your afternoon activities after English lessons. My child is interested in
Football Academy
STEM and Gifted Programme
Scheduled activities eg multi sports, Hunted, Capture the Flag and trips
University Preparation
Signature
*
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