Juniors

By sending the form below you definitely are enrolling on a language course. We will be happy to help you with any additional information.

Selection of course(s)

Add a course

Selection of accommodation(s)

* 1) Type of accommodation

Residence Host family

I am a vegetarian

yes no

Special diet

Allergies/Medical treatment

Leisure, interests

Other wishes

Journey

* Organisation of the journey

By ESL by myself

* Airport transfer - pick up and drop off

yes no

Personal details

* Title

* Surname

* First name

* Date of birth

* Address

* Postcode

* City/town

* Country

* Place of birth

* Nationality

* Mother tongue

* School attended

Parents or guardian/legal representative

* Surname and first name

Address (if different)

Durant the stay (if different)

* Private tel.

Work tel.

* Mobile

Fax

* E-Mail

Language level

* Written

* Oral

Insurances

* I wish to receive a cancellation-assistance insurance - 3 months (EUR 55.-)

yes no

* I wish to have free exam cancellation protection (please send us proof of enrolment for an exam)

yes no

Confirmation & sending

Promotional code

* How did you find out about ESL?

Please specify

* I completely agree with the general terms and conditons of ESL.

* Compulsory fields

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Juniors

Forms