Registration Form

We are very happy to accept students aged 16 & 17 years of age. However, to meet British Council criteria a parent or guardian of students ages 16 or 17 must complete a Parental Consent Form. We will send this to you once we have received the Registration Form and Registration Fee. Students aged 16 or 17 years must also book an Airport Transfer to take them by car to and from the airport (unless they are travelling to the UK with a parent or guardian). An airport transfer can be booked when you use this Registration Form.

Please complete the registration form below. Questions marked with an asterisk (*) must be completed.

First Name*:
Last Name*:
Email Address*:
Re-type email*:
Level of English:
Date of Birth*:	Day Month Year
Sex*:	Male Female
Street Address*:
Address Line 2:
City*:
Country*:
Zip/Postal Code*:
Main Phone No*:
FAX Phone No:
Emergency Contact Details in your home country
Name*
Relationship*
Telephone*
More about you
Job/Profession:
Nationality*:
Do you need a visa? For more information see http://www.ukvisas.gov.uk/en/doineedvisa	I don't need a visa Student visitor visa General student visa
What is your first language?*
How long have you been studying English?
Reason for studying English in the UK*
If learning English for mission, please tell us which mission:
Which course are you interested in doing? Please choose an option:*
Course start date*:
Course end date*:
Type of Accommodation required: Please choose an option:
How will you travel to the UK? Please choose an option:
Airport Transfers Please choose an option if you would like CELC to arrange collection from the airport. Prices are per person (pp), one way, from the airport to Christchurch. Please click the Return box if you would like to be taken back to the airport at the end of your stay. The cost for return is the same as the cost for collection. For example: 1 person transfer Southampton to Christchurch = £65. Plus return, total = £130	Airport Transfer - Heathrow to Christchurch none 1 person £120 pp 2 people £65 pp 3 people £45 pp Return? (Same cost as selected above)
	Airport Transfer - Gatwick to Christchurch none 1 person £130 pp 2 people £70 pp 3 people £48 pp Return? (Same cost as selected above)
	Airport Transfer - Luton to Christchurch none 1 person £130 pp 2 people £70 pp 3 people £48 pp Return? (Same cost as selected above)
	Airport Transfer - Stanstead to Christchurch none 1 person £180 pp 2 people £95 pp 3 people £65 pp Return? (Same cost as selected above)
	Airport Transfer - Southampton to Christchurch none 1 person £ 65 pp 2 people £35 pp 3 people £25 pp Return? (Same cost as selected above)
Please tell us about any special requirement – diet, physical, psychological, allergies, etc.
Please confirm that you have read and understood the TERMS AND CONDITIONS (opens a new window), and that you will send the registration fee of £70 GBP (non-refundable) having completed this form*:	YES I HAVE READ AND AGREE WITH THE TERMS AND CONDITIONS

Passport No*:
Today's Date*:
Please tell us where you heard about CELC UK

CELC UK

Registration Form

Emergency Contact Details in your home country

More about you

Emergency Contact Details
in your home country