Agency details
(if you aren't an agent, go directly to the Student details)

For the attention of (English on Sea contact person)

Your agency name

Your name

Your agent email

Student details

Your first name (required)

Your family name (required)

Sex (required)
 Male Female

Your address (required)

Your town/city (required)

Your postal code (required)

The country where you live (required)

Your telephone number

Your mobile telephone number (required)

Emergency contact telephone number (required)

Name of your parent or guardian (required)

Your Email (required)

Do you suffer from any illnesses or disabilities (required)
NoYes

If yes, please give full details

Your nationality (required)

Your first language (required)

Your date of birth (required)

Your hobbies and interests (required)

Your level of English

Your level of English (required)
elementaryintermediateadvanced

How many years have you been studying English? (required)

Course details

Please see info of this course for details of our dates.

Course start date (required)

Course end date (required)

Arrival and departure information

Your date of arrival (required)

Your point of arrival and travel details (if you know them)

Your date of departure (required)

Your point of departure and travel details (if you know them)

Accommodation

Accommodation start date

Accommodation end date

Do you smoke?
NoYes

Please note: Generally our hosts do not allow smoking indoors, so smokers must be prepared to smoke outside during their stay

Do you require a non-smoking family?
NoYes

Do you have any special dietary requirements e.g. vegetarian:

Do you have any allergies e.g. cats, dust

I have read and accepted the terms and conditions of enrolment on English on Sea courses of enrolment with English in Margate.

 I accept the terms and conditions

Please download the Parental Consent Form for Juniors.

PLEASE NOTE: As soon as we have received this booking we will contact you with details on your payment and how it can be made. Your booking will not be complete until the necessary payment has been made.