UK School Immersions Programme: Individuals Booking Form

Booking Details
Your name

First Name(s)Last Name(s)
What is your relationship to the student?
Please explain
Your phone number
Include country code, area code, and phone number
Your email address
Student name

First Name(s)Last Name(s)
Start date for school immersion
Select the season you want to study with us
Which centre do you want to study at?
Which programme do you want to book?
Which programme do you want to book?
How many weeks do you want to study?
Arrival date

DayMonthYear
Date
Departure date

DayMonthYear
Date
Student Details
Date of birth

DayMonthYear
Nationality
Gender
Student passport number
Travel Details
Arrival Information
Is airport transfer required for your arrival?
Arrival airport
Other airport
Arrival terminal
Flight number
Arrival time

Hour Minutes
Departure Information
Is airport transfer required for your departure?
Departure airport
Other airport
Departure terminal
Flight number
Departure time

Hour Minutes
Parent/Guardian Details
If information isn't available for both parents, please put N/A in the open text.
Father's name

First Name(s)Last Name(s)
Father's cell phone number
Include country code, area code, and phone number
Father's email address
Father's level of English
Mother's name

First Name(s)Last Name(s)
Mother's cell phone number
Include country code, area code, and phone number
Mother's email address
Mother's level of English
Student's home address
Emergency Contact Details
Emergency contact's name

First Name(s)Last Name(s)
Emergency contact's cell phone number
Include country code, area code, and phone number
Emergency contact's email address
Emergency contact's level of English
Student Medical Information
Does the student have any allergies?
i.e. foods, pets, medicine, etc.
If so, what?
Does the student have any dietary requirements?
i.e. lactose intolerant, Celiac Disease, etc.
If so, what?
Does the student have any medical conditions?
i.e. asthma, diabetes, epilepsy, etc.
If so, what?
Does the student take any medication?
If so, what?
Does the student have any special educational needs?
If so, what?
Parental/Guardian Consent
Please read through each section below and tick the boxes to confirm your consent.
I confirm my child does not suffer from any medical conditions other than those listed above.
I give permission for my child to receive emergency medical or dental treatment by a trained medical professional should the need arise.
I give permission for photos and videos to be taken of my child during the programme for use in marketing and/or publicity materials, and/or on social media, to promote Oxford International Junior programmes.
I understand that my child will be asked for a damage deposit and/or lost key deposit on arrival. Should it be proven that my child has caused damage over and above the deposit, I understand the deposit will be retained by Oxford International centre staff and I will be liable to settle any outstanding damage bills before my child departs from the programme.
I confirm that my child will abide by campus curfews.
I understand that my child may use public transport as part of the excursion programme.
Student Exclusion Policy

Examples of behaviour which may result in a student being sent home are listed below, but not limited to these examples:
- Repeated and blatant refusal to follow course instructions in class, on activities or in accommodation.
- Where behaviour poses a clear health and safety risk to themselves and others.
- Behaviour that repeatedly spoils the enjoyment of the course by other students.
- Behaviour that can be described as abusive, aggressive, racist, violent or serious in any other manner.
- Where a student breaks the law of this country.
Additional Information Available

Please view our behaviour policy here for more information. Please visit the centre page for more information about the centre where your child will study, and download the centre factsheet.
I agree that my child will adhere to all the rules of the programme and abide by the student code of conduct (as written in the centre guidebook). I accept that failure to abide by these rules may result in the student being sent home immediately, and at my expense. In this case, I understand no refunds will be given.
Terms and Conditions
Please read through our terms and conditions, which can be found on our 2026 Juniors Gross Global pricelist, before submitting the form.
I have read through the terms and conditions listed above.
Declaration
I hereby accept the terms and conditions above and understand that I am giving full parental consent for my child to be enrolled into my selected Oxford International Junior Programmes course. By submitting this form, I also declare that all information included in this form is considered accurate and true.
Parent/Guardian name

First Name(s)Last Name(s)
Parent/Guardian signature
How did you hear about us?
If you have any questions, please contact juniors@oxfordinternational.com.
Should be Empty:

Booking Details

Student Details

Travel Details

Parent/Guardian Details

Emergency Contact Details

Student Medical Information

Parental/Guardian Consent

Terms and Conditions

Declaration