1. Course Details

Name of Course *

Date of the Course (as shown in calendar)

Alternative dates requested

If none of the existing dates suit you, please enter the date that would be good for you here.

2. Student’s Personal Details

First Name *

Last Name *

Gender *
MaleFemale

Date of Birth *

Place and Country of Birth *

Nationality and details of identity document/passport *

Type, number, place and date of issue.

Details of current valid UK visa

Type, number, place and date of issue, and period of validity.

This information is needed for all non-UK citizens except those who belong to other member states of the European Union.

Student’s native mother tongue or language spoken in the home *

Student’s blood group *

Medical Condition

Details of any current medical conditions and medication, including allergies and any special dietary requirements. Please add any other special notes, if necessary.

3. Student’s Education Details

Name and location of the school/college/university which you are presently attending? *

Which academic year are you enrolled in now? *

If none, please type in “none”.

What academic course and qualification are you studying for now? *

If none, please type in “none”.

What is the language of instruction in your current academic course? *

If none, please type in “none”.

4. Introducing Yourself to novelEnglish

Please write a short letter to tell us about yourself and your interests and why you want to attend the course? *

Please attach a photograph of yourself (and family if you like)

Please tell us which languages you speak and your ability in each one (beginner, medium, advanced, fluent) *

Can you swim? *
YesNo

Do you have any pets of your own in your house? *
YesNo

Will this course be the first time that you have been away from home by yourself? *
YesNo

Will you bring a mobile phone with you? *
YesNo

5. Your Parents and Your Home

Home – Street Address and House Number *

Village / Town / City *

County / Province *

Postal code *

Country *

House telephone number *

Please include country and area codes clearly.

Name of your father

Only if you are under 18.

Nationality of your father

Only if you are under 18.

Father’s home, work and mobile telephone numbers and his email address

Only if you are under 18.

Name of your mother

Only if you are under 18.

Nationality of your mother

Only if you are under 18.

Mother’s home, work and mobile telephone numbers and her email address

Only if you are under 18.

Additional UK contacts

Name, address and contact numbers of any additional person in the UK whom we can contact while you are attending the novelEnglish course. This applies particularly to overseas students.

Parent / guardian visit

Please tell us if your parent or guardian wants to visit you during the course and if they want to stay the night at Trelugga. This is only possible on the first night unless your family has arranged to stay in nearby cottages.

Only if you are under 18.

Other relevant information

Any other relevant information, for example the address of a nearby hotel or B&B where your parents may be staying.

6. Your Travel Arrangements to and from Trelugga

We need to know clearly how you plan to reach Trelugga and how you plan to travel home. Please see the information provided about the various travel options.

If you need to be met at the nearest railway station, bus stop or airport, we can arrange this for you. You may have to pay extra for this service. We may also be able to arrange for children under 16 years old to be escorted from and to other UK destinations.

Will you be travelling alone or accompanied by an adult?

Only if you are under 18.

Details of travel to Trelugga *

i.e. date(s), time of departure and arrival and means of travel for each section of the route, exact time and place of arrive (example: MON th Feb 2015 dep London Paddington station 1003 Hrs First Great Western train service to Penzance arr Redruth 1510 Hrs; dep Redruth railway station 1525 Hrs on First Great Western bus service number arrive Helston Sainsbury's supermarket at 1610 Hrs ; PLEASE COLLECT )

Details of travel from Trelugga *

Please provide the same information as requested above.

Do you want us to provide pick and drop service by car? Please reconfirm this with details as to where and when, both for arrival and departure.

For younger children

Do you want us to provide an adult escort for you to travel to Cornwall, for example from London or Exeter, or back? Please give details here and we shall contact you to confirm and advise you of the cost.

7. Insurance Cover

It is a condition of enrolment in our course that each student has adequate accident and medical insurance to cover the duration of their stay with us.

We also strongly recommend that you arrange insurance cover for your personal possessions, such as mobile phones or other valuables. This is your responsibility.

Please give details of your insurance cover here.

8. Terms and Conditions

Please confirm that you and/or your parents or guardian have read and agree to our terms and conditions, which indicate our duty of care and the limitations of responsibility to enrolled students and which explain the simple rules which every course participant must follow.

By ticking this, I confirm I have read the Terms and Conditions and agree with everything listed there. *

Yes

9. Declaration

I declare that the above information provided by me is true to the best of my knowledge and belief and I have read and agree to novelEnglish terms and conditions and rules while attending the above course.

10. Booking Procedure

After receiving this completed enrolment form, we shall send you an invoice for the whole cost of the basic course, including food, accommodation and tuition, but excluding the cost of any extras such as special travel arrangements which may need time to work out and for which a second invoice may be needed.

After receiving the invoice, you should pay a deposit of £100 to make a definite booking. We shall then send you a receipt and acknowledge your booking.

The balance of the fee must be paid at least 45 days before the start date of the course.

If you decide to cancel your booking, please do so at least 45 days before the start date of the course. If you fail to do so, we shall retain the deposit.

If you cancel your reservation in time, you can reallocate your deposit to a later course or receive a refund in the amount of 50% of the deposit.