International Summer School and Summer Camp for Girls

Summer School Application Form 2021

Please check availability before completing this form and sending payment

Please complete the Application Form below. Fees include tuition (20 lessons: 15 hours), textbooks, stationery, school residential accommodation and all meals, bedding, towels and laundry, activities, excursions with entrance fees, full responsibility for the student while on the course, Saturday Heathrow transfers as per the Terms and Conditions and comprehensive travel insurance. Insurance commences on receipt of deposit.

Heathfield Summer School Application Form

Please select as required

General English only
(Inclusive fees - GBP1190 per week)

4 Weeks - Arrive Sat 10th July - Depart Sat 7th August - £5000 3 Weeks - Arrive Sat 10th July - Depart Sat 31st July - £3750 2 Weeks - Arrive Sat 10th July - Depart Sat 24th July - £2500 3 Weeks - Arrive Sat 17th July - Depart Sat 7th August - £3750 2 Weeks - Arrive Sat 17th July - Depart Sat 31st August - £2500 2 Weeks - Arrive Sat 24th July - Depart Sat 7th August - £2500

General English including English with Style
Saturday 31st July - Saturday 7th August (for girls aged 14 years+)
(fees below include GBP365 EWS supplement)

4 Weeks - Arrive Sat 10th August - Depart Sat 7th August - £5365 3 Weeks - Arrive Sat 17th July - Depart Sat 7th August - £4115 2 Weeks - Arrive Sat 24th July - Depart Sat 7th August - £2865

Optional Extras (to be paid with full fees)

4 hours' individual, private tennis coaching (spread over 2 or more weeks) - £250 1 group riding session per week - £55 per week 2 group riding sessions per week - £110 per week

Personal Information

Student's Family Name

First Name

Date of birth

Day

Month

Year

Age (during Summer School)

Religion

Student's First Language

Other languages spoken

Nationality

Passport number

Visa required

Yes No

Name of parent or person to contact

Title (e.g. Mr/Mrs)

Family Name

First Name

Relationship to Student

Level of English

Address Address Line 1 Address Line 2 City State / Province / Region Post / Zip Code

Country

Home Telephone No.

Mobile No.

Email

Medical Information

A detailed Medical Form will be sent in June and must be returned before the student attends

Please give brief details here of any special medical, physical, emotional or educational issues we should know about.

Any dietary requirements?

Does your daughter suffer from any allergies?

Parental Consent

During the course, your child will be involved in various general and sporting activities and trips, organised and supervised by the school as described on the website. Parental consent is required for your child to take part in these activities:

To take part in all activities and sports in school

Yes No

Can your daughter swim?

Yes No

To take part in pool activities (in the shallow end for non-swimmers)

Yes No

To have designated free time in the school and its grounds

Yes No

To take part in school trips

Yes No

To take part in Amusement & Adventure Park activities

Yes No

To go in groups of no fewer than 3 or 4 students for shopping or activities on excursions if aged 12 and over

Yes No My child will be under 12 during the course and will always be accompanied by staff

Any comments on the above

Catholic Mass

Please indicate if your daughter should attend

Yes (She must also sign the Mass list each Sunday)

Level of English

How long has your daughter been studying English? years

Class level of English

Written English

Spoken English

*Please note we cannot accept complete or very low level beginners. All students must have some basic English. We can provide details to help elementary level students prepare for Heathfield.

Any comments on your daughter's level of English

Travel Arrangements

Arrival

Independent arrival Require arrival transfer from airport I do not know the arrival arrangements yet

Departure

Independent departure Require departure transfer to airport I do not know the departure arrangements yet

(Arrivals & Departures Travel Information with further details will follow with confirmation information)

Please tell us how/where you heard of Heathfield

Name of any friends/relatives also attending the 2021 course

Please add any extra information you think it would be helpful for us to know

Declaration

Please notify us, in writing, if you do not agree to any of the conditions below or have any comments to add.

I wish my daughter to attend Heathfield Summer School and hereby confirm the information I have given about my child is correct. I consent to the school making use of this data for the care of my child in accordance with the UK Data Protection Act (2018). I consider that she is physically and psychologically fit to undertake all the activities on the course and give permission for her to participate in them. In case of illness or injury I hereby grant permission to Heathfield School to follow the advice of the medical practitioner in attendance and to allow a designated member of staff to dispense over-the-counter medicine or first aid on a school trip. I have read and accept the Terms and Conditions and have explained the Rules and Discipline Procedure to my daughter. I give permission for Heathfield School to contact me and for my daughter to be in photos and films used by the School for publicity such as the website/brochure/social media (without name) and for quotations from her feedback forms to be used, with first name only, for the same purpose.

I hereby agree to the above statements

I agree

Please submit this form and proceed to make the deposit payment or full payment. Please indicate below the payment method.

I will be making a payment as follows:

£550 deposit Full Payment

Note: Deposit payments must be received within 7 days of booking; full fees are required for bookings after May 10th.

Name

Relationship to Child

Summer School Application Form 2021

Please check availability before completing this form and sending payment

Heathfield Summer School Application Form

Personal Information

Name of parent or person to contact

Medical Information

Parental Consent

Catholic Mass

Level of English

Travel Arrangements

Declaration

Summer School

Summer Camp

Summer Fun

Heathfield School