Windermere International Summer School 2017 Registration Form: Please complete in capitals sections 1-7 and return with a deposit of 450.

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Windermere International Summer School 2017 Registration Form: Please complete in capitals sections 1-7 and return with a deposit of 450. 1. Which course would you like to attend? Course Name Dates Cost Tick to attend Course 1 3 to 15 July 2,000 Course 2 17 to 29 July 2,000 Course 3 31 July to 12 August 2,000 Course 4 14 to 26 August 2,000 Trinity Exam 60 Which type of course English Language Sailing Canoeing Performing Arts Music Football 2. Student Details Family Name:... First Name... RECENT PHOTOGRAPH HERE PLEASE Name you are known by:... Boy Girl Date of birth: Day.. Month.. Year... Nationality:... Native language:... *Is the Student to take the Trinity GESE exam? Does your child study in an International School? Have you been to Windermere before? How did you hear about the school?... Windermere Educational Trust Limited is a Registered Charity. 526973. Registered Office: Browhead Windermere. 914963

*TRINITY COLLEGE LONDON - GRADED EXAM IN SPOKEN ENGLISH (GESE) We are offering the opportunity to all Students who attend two or more courses, to sit the Trinity GESE Examination. This is an ability based, oral examination taken towards the end of the course and successful Students will receive a Certificate confirming that this internationally recognised exam has been taken. In 2016 all Students who sat the exam passed, with the majority achieving a Distinction grade. Exams take, on average, 10 minutes and are an excellent and formal way of concluding the hard work of the previous weeks of this course. There are 12 levels from Absolute Beginner to Full Speaker two 90 minute workshops as well as individual tutorials will be offered, to assist with exam preparation. The exam is set to reflect the achievements of our standard International Summer School English Syllabus. The cost of the exam is 60.00 per Student which includes the exam certificate postage. To apply please simply tick in the above box. 3. Contact Details Parent or Guardian Name... Address... Town... Country... Zip/Postcode..., Work Telephone Home Telephone... Mobile telephone Fax Email Does the above person speak English? If not, please provide the name and phone number of an English speaking contact in case of emergency. Name. Phone number. Windermere Educational Trust Limited is a Registered Charity. 526973. Registered Office: Browhead Windermere. 914963

4. Medical and Dietary Information a) Does the student have any medical condition or disability e.g. asthma, epilepsy, diabetes, allergies? b) Does the student have any allergies? c) Is the student taking any medication? d) Does the student require a special diet? e) Does the student require learning support in lessons? f) Recent injuries or illnesses e.g. back strain, influenza If you have answered yes to any questions above, please give details:...... 5. Agreement It is important that the Terms and Conditions have been read and understood before signing below. I confirm that all the information contained within sections 1 4 is correct. I confirm that I accept the terms and conditions of registering my son/daughter. I accept, on my sons/daughters behalf, Windermere International Summer School s Code of Conduct and confirm that this will be followed by my son/daughter. Statement of risk Windermere School and its contracted activity providers, takes all reasonable steps to provide you with the level of care and safety appropriate to adventurous activities. You should however be aware that certain inherent risks remain which cannot be eliminated without destroying the unique character of the activity. Amongst other things, some of these risks can contribute to: a) the loss or damage of your personal clothing or equipment b) feelings of discomfort, fear and apprehension c) accidental injury, illness, or trauma which in extreme, but thankfully very rare cases, can be very serious Please inform staff if you are not comfortable with any of your programmed activities. Windermere School and its contracted activity providers have clear obligations and responsibilities and we require participants to contribute to their own and each other s safety by following the instructions of our staff. Acknowledging these risks in no way compromises your legal rights, nor does it release the School or providers from any of its obligations towards you. Name... Relationship... Date Signature.. Windermere Educational Trust Limited is a Registered Charity. 526973. Registered Office: Browhead Windermere. 914963

Was the booking made through an agent? If so please provide their details 6. Agent Contact Details Is the agent the primary contact / Agents Name... Address... Town... Country... Zip/Postcode..., Work Telephone Home Telephone... Mobile telephone Fax Email Who is the contact. 7. Special Activities On each course we will have two special activity days please mark your 1 st and 2 nd choice for each of these days Day 0ne Day two 1st 2nd 1st 2nd Choice Choice Choice Choice Paintballing Paintballing Go-Karting Go-Karting Segway Segway Tree Top Trek Tree Top Trek Climbing Wall Climbing Wall Windermere Educational Trust Limited is a Registered Charity. 526973. Registered Office: Browhead Windermere. 914963

Windermere International Summer School - Payment Form A deposit of 450, UK pounds sterling, is required to reserve a place and is to be returned with the Registration Form. 7. Payment Options a) Sterling Cheque Payable to Windermere Educational Trust Limited b) Bank Transfer (Please indicate child s name and Windermere International Summer School to identify this payment). Windermere Educational Trust Limited HSBC Windermere Branch IBAN SWIFTBIC GB20MIDL40470121452673 MIDLGB22 Account. 21452673 Sort Code 40-47-01 c) Credit Cards (Visa/Mastercard/Visa Electron) & UK debit cards (Switch/Maestro). Please contact the school on + 44 (0) 15394 46164 or complete the following: Credit Card Surcharges. (Please note: There are no charges for Debit Cards). Personal Cards add 1.65% Business Cards add 2.35% Foreign Cards payment in own currency add 1.1% - please state clearly if this is preferred option Foreign Cards payment in GBP Sterling add 1.65% ** Please note that Payments will be taken in Sterling unless specified otherwise ** 16 or 19 digit number Expiry Date Security / Signature Date. I agree to remaining payments being charged to this credit card 6 weeks before the start of the course. On receipt of payment, a letter of acceptance will be sent, together with an invoice for the balance. student can join Windermere Summer School until full payment has been received 6 weeks before the start of the course. Windermere Educational Trust Limited is a Registered Charity. 526973. Registered Office: Browhead Windermere. 914963

Parental Consent Form There are four specific aspects at Windermere Summer School that require parental consent. Our approach to each is entirely at the discretion of the parent or guardian, but based on past experience consent is usually given in respect to all four options. (1) Do you give permission to Windermere Summer School to use photos of your son/daughter in future marketing materials, including print and online media, including Facebook? (2) Do you give permission to Windermere Summer School s Welfare Officer, who is qualified in first aid, to administer to your son/daughter common non-prescribed medicines such as aspirin, paracetamol or a throat lozenge? (3) Will you allow your son/daughter to receive emergency treatment, as deemed necessary in case of accident or illness? (4) During Windermere International Summer School there are times where students have the opportunity to split up into groups of at least four to walk around town centres and visitor attractions. Staff are always in contact and close by, but students would not be directly supervised during this time. Do you give your son/daughter permission to take part in these group visits? Student s Name:.... I hereby give consent for the above student, as detailed within this Parental Consent Form. Signed: Parent/Guardian:.. Date:... Windermere Educational Trust Limited is a Registered Charity. 526973. Registered Office: Browhead Windermere. 914963

FLIGHTS: Arrivals/Departures must be arranged for between 10.00am and 6.00pm on the start/end date of each course unless prior agreement is gained in writing ROOMS: Students of the same Nationality are not usually accommodated in the same room as part of our commitment to developing English Language skills in every Student. However, in exceptional circumstances, this may not be possible. 7. Terms and Conditions of Registration Agreement The completion and signing of this Registration Form forms an agreement that the student will follow and adhere to all the terms and conditions it contains. Behaviour If the student does not follow the Windermere International Summer School Code of Conduct or behaves in any way deemed unacceptable by the International Summer School, we reserve the right to both discipline that student and/or send the student home immediately, with no refund of fees. Windermere International Summer School will, where possible, look to caution students in the first instance and will make every effort to communicate early concerns over behaviour to parents and guardians. Windermere International Summer School Code of Conduct To show consideration and respect to all members of the International Summer School community. To respect the property of others. This includes taking, moving or using other people s property. To remain on the school grounds, unless given permission by a member of staff to do otherwise. To agree to all expectations put in place by Windermere International Summer School Bullying consumption or possession of cigarettes, alcohol or illegal substances whilst on the School s premises or whilst acting as a member of the International Summer School community. girls in boys accommodation and no boys in girls accommodation. chewing gum, no energy drinks and no aerosols. damage to school property or littering. * In respect to damages, caused deliberately or as a result of inappropriate behaviour, Windermere International Summer School will recover costs from the student or students involved. Insurance Except where required by the terms of its own insurance cover, Windermere International Summer School does not accept liability for damages, injuries, illnesses or other claims related to students unless such liability is legally imposed. Windermere International Summer School does however have a specific arrangement in place with Gibbs Denley Limited, through which students may make appropriate claims. This insurance is tailored to suit the needs of international students studying abroad for short periods. A copy of the Student Guard Insurance Policy is enclosed. Medical We accept students only on the understanding that they are in good health. The Medical and Dietary information allows you to give us an insight in to your child s health and dietary needs, but we can take no responsibility for any aspects not included. We ask therefore that you give a full account in writing if there are any additional concerns or matters about which we need to know. Cancellation To cancel a student s place, Windermere International Summer School must receive written confirmation. This will take effect from the date the letter is received. The following charges are applicable to cancellations: tice given prior to start date Cancellation Fee 60 days or more - 30 administration fee 43 days to 60 days 450 (i.e. deposit is retained) 11 days to 42 days 50% of full fees 0 days to 10 days - Full fees After course has started - Full fees Depending on the reasons for cancellation, you may be able to claim a refund on the insurance policy for refund of deposit or fees. Please refer to the policy for full details. Changes to the programme The course has been planned and published in good faith. Windermere International Summer School reserves the right, however, to make any changes to the programme that is deemed necessary. Windermere Educational Trust Limited is a Registered Charity. 526973. Registered Office: Browhead Windermere. 914963