ECHO Language School
23 Rutland Gardens
Brighton & Hove
BN3 5PD

tel:+44 1273 202802
fax:+44 1273 746464

info@echolanguageschool.co.uk

Application form

Our courses are very popular. Please check availability first.

To enrol, complete the form below and click on the 'Submit' button
* Fields must be completed.

Student details:

First name	*
Family name	*
Sex	Male Female *
Date of birth (ddmmyy)	*
Nationality	*
Which course	*
Years of school English
Current school (name & city)
Date of arrival (ddmmyy)	*
Length of course (weeks)	*
Other information: for example special health or dietary requirements or One-to-One requests

Parent/guardians details:

Title
First Name(s)	*
Family Name	*
Your Telephone Number	*
Your Email	*
Postal Address
If different from above, Emergency contact details

Consent for activities:

Please note that all students under 18 must tell a member of staff where they are going and must return within a strictly observed time limit. We never let our students go out alone and we always make sure that the activities they are undertaking will be safe.

Swimming in the sea unsupervised	Yes No
Basic food/ drink preparation unsupervised (eg making tea)	Yes No
Returning from afternoon trips in groups unsupervised (15-18yrs only)	Yes No
Playing sport unsupervised in the park during afternoon free time	Yes No
Visiting local shops unsupervised	Yes No
How did you discover ECHO?
Name of person who recommended ECHO
I have read and agree to the Terms and conditions of ECHO Language School.

Health and Safety

I recognise that ECHO has a duty of care towards students under 18 and I agree to accept any decision made by ECHO or its agents in the interest of the health or safety of my child (including any emergency medical treatment they think necessary or desirable) and to reimburse them for any reasonable extra costs they may thereby incur.

I agree to give ECHO full information and instructions about any medical condition from which my child may be suffering at the commencement of the Course.

I realise that ECHO makes every effort possible to separate children with the same native language but that this is not always possible and that any arrangement made by ECHO is subject to seasonal enrolments and availability.

I understand that although all activities are carefully supervised, they are undertaken entirely at the risk of the individual and that ECHO accepts no responsibility for loss or injury unless proven negligent. I will make clear any resquests regarding restrictions to my child's participation in activities outside the school.

Discipline

I also understand that ECHO has a responsibility towards all its students and to the local population, and I agree to accept any disciplinary action, up to and including removal from the Course, taken by Mrs Cope against my child for misconduct or breaches of ECHO rules that threaten the success of the Course or the well-being of the local community, including ECHO host families.

Damage

I agree to indemnify ECHO against all reasonable costs arising out of accidental or deliberate damage caused by my child which cannot be recovered by ECHO through its own insurance policies.