Clone of Ratcliffe College Immersion Programme

Immersion Programme - Booking Form

For all group bookings, above 5 or more, please enquire at immersion@ratcliffecollege.com, to secure your place.
How long will you be joining the programme for?*
Programme Attending*
Gender*
T-shirt / Jumper size of child*
Child's First Name*
Child's Last Name*
Child's Date of Birth

MonthDayYear
Date
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*
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?
Transfer Confirmation*

I can confirm that I would like free transfers from 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
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Terms and Conditions
Read Our Terms and Conditions Here
Terms and Conditions*

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.
Please sign below to agree to the terms and conditions

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Payment Options*

Pay deposit only - 1000£Pay in full
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Immersion Programme - Booking Form

Terms and Conditions

Payment