Tel: +44 1803 615589 Email: info@efalanguage.com
For a full submission, please complete the email registration form below and press submit.
Forename
Surname
Date of Birth
Gender MaleFemale
Nationality
Mobile
Address
Country
Phone
Email
Please note that most of the information about the student is only required for host family placing purposes; if you wish to book a course without host family accommodation, you may leave this section blank except for the fields "language tuition" and "level". Thank you.
Allergies and/or Disabilities? NoYes
If yes, please specify...
Any special catering needs?
Smoker? NoYes
Chronic Diseases i.e. asthma
Regular medical treatment
Permission to go swimming? NoYes
Other languages spoken
General comments, special wishes, emergency contacts
Course Type Junior HolidayJunior IntensiveAdult/Senior Citizens GeneralBusiness EnglishPrivate Tuition (one-to-oneOther Language (specify below)
Other language required
Language tuition since
Level BeginnerIntermediateAdvanced
Start date (normally a Monday)
End date (normally a Friday)
Airport transfers to Torquay can be arranged subject to availability.
Accommodation required? YesNo
Accommodation type Host FamilyBed & BreakfastHotelOther (please specify)
Other accommodation type
Student would like to share with
Single room? YesNoThird choice
Start date (check-in)
End date (check-out)
Course fee
Course currency British Pounds £
Single room supplement
Accommodation fee
Discounts (if applicable)
Total price
Transfer by National Express coach required YesNo
MINIMUM AGE 14 (cost will be about £65 incl. £5 booking fee for a return ticket from/to Heathrow - depending on booking date).
IMPORTANT: We must receive the total amount on any invoice in English Pounds and all Bank Charges should be paid by the student. Details of the Schools Bank Account will be included in the invoice.
A minimum deposit of £250 is payable on Registration and will be deducted from the final invoice. The balance of the course fee is due twenty eight days prior to the commencement of the Course.
Form of Payment Invoice
By ticking this box I accept EFA's general booking conditions and reserve this course. For students aged under 18, a parent / guardian must give full consent to attend our courses.
Father's full name
Nom - Prénom père / Name - Vorname Vater
Mother's full name
Nom - Prénom mère / Name - Vorname Mutter
Obligatory / obligatoire / Pflichtangabe
Child's name
Authorise My Child
Autorise mon enfant / autorisiere mein Kind
Child's age
Alter
Registered with the EFA Torquay Junior Programme from:
Inscrit au programme EFA. Torquay Junior du Eingeschrieben am EFA. Torquay Junior-Programm vom:
To go out at night after 8pm until / A sortir le soir après 20h jusqu’à Abends nach 20 Uhr auszugehen bis um PM weekdays
heures en semaine / Uhr wochentags
PM Saturdays
heures le samedi soir / Uhr samstags
Authorisation Declined - I do not authorise my child to go out after 8pm at night at all. Je n’autorise pas mon enfant à sortir seul le soir après 20 heures, ni la semaine, ni le samedi. Ich erlaube meinem Kind nicht, allein weder wochentags noch samstags abends nach 20 Uhr auszugehen.
Parent: We certify that our child will respect the instructions given above and E.F.A. will not be held responsible if our child does not meet the regulations. Les Parents: Nous certifions que notre enfant respectera les consignes données cidessus et que E.F.A. ne sera pas tenue pour responsable si notre enfant ne respecte pas le règlement. Erklärung der Eltern: Wir attestieren, daß unser Kind die obenstehenden Instruktionen respektieren wird und E.F.A. nicht dafür haftbar gemacht wird, wenn unser Kind sich nicht an diese Anweisungen hält.
Parent Declaration* Agree
Date
This field is for validation purposes and should be left unchanged.
