Student Testimonials

“...at the school i learned a lot, and my english became stronger . The Food was fantastic and every body loved it . In the...

ELAS Testimonials

“Appraisal for EMTP the umbrella organisation of ELAS UK our achievements have been commended by a number of governmental bodies and agencies: Below is a sample...

Registration Form

All field marked * are compulsory fields that need to be filled.

Please Fill all the required fields personal detail Section

Personal Details

Name of Student:*
Date of Birth:*	Select
Gender:*	Male Female
Place of Birth:
Age on 1st July:
Address:*
Country of Residence:*
Nationality:*
Passport Number:*
Passport Country:*
Email:
Phone (Landline):*
(Mobile):
Religion:*
Number of children in family:*

Father's Details

Name of Father/Guardian:*
Country of Origin:
Email Address: (Primary)
Email Address: (Secondary)
Address: (if different from above)
Telephone (Home):*
(Work):
(Mobile):
Fax:

Present School

Name of School:
Address:
Telephone:
Dates attended - From:	Select
To:	Select
Name of Head Teacher:

Language Ability

How would you grade your Spoken English?	Poor Good Excellent
How would you grade your Reading English?	Poor Good Excellent
How would you grade your Writing English?	Poor Good Excellent
Do you speak any other languages?	Yes No
If Yes, please indicate
Any other additional information:

Information in case of Emergency

Name of Parent/Guardian:*
Address: (if different from previous)
Telephone (Home):*
(Work):*
(Mobile):*

Please give details of a second contact:
Name:*
Address:
Telephone (Home):*
(Work):*
(Mobile):*

Medical Information

Name of Family Doctor:
Address:
Telephone:
Is there any important medical information we need to know?*	Yes No
If yes please give details:
Do you have any special illness or allergies?*	Yes No
If yes please give details:
Do you have any special diet?*	Yes No
If yes, please give details, particularly of the foods that you cannot eat:
* I/We hereby give permission for any member of ELAS staff to administer First Aid or take me or my child to hospital should the need arise. I/We will not hold ELAS responsible for the implementation of the above.

Medical Insurance:* I will provide my own medical insurance. I wish to purchase medical insurance from ELAS. Click here to Purchase [Link opens in new window]

ELAS Summer Courses

Please choose your desired Course*. [Choose only one]

Course Dates	Duration	English & Adventure Programme	English Only Programme
ELAS 1: 29th June -27th July 08	4 weeks	£2,700.00	£2,100.00
ELAS 2: 21st July - 17th August 08	4 weeks	£2,700.00	£2,100.00
ELAS 3: 29th June-10th August 08	6 weeks	£4,100.00	£3,150.00
ELAS 4: 29TH June- 26th August 08	8 weeks	£5,400.00	£4,200.00

Declaration

* I have read and understand all the Terms & Conditions. I/We apply for admission to ELAS and certify that all the above details are correct to the best of my/our knowledge and I/We undertake to honor in full the requirements of my agreed study programme and all adventure weekends. I/We have returned the completed form with the Fee of £250.00 deposit paid in cash/bank transfer. All students must pay £100.00 refundable deposits. I/We acknowledge and agree that all monies paid to ELAS are non-refundable. In the event that I am withdrawn from the programme, I/We agree to pay the full fees for the programme.

Full Name:*
Date:*	Select
Relationship to Applicant:*

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