Register

 

We are in the process of embedding this form into the website. 

 

​For now, you may complete it when you arrive at the school, or please answer the questions onto a separate document and email it to us.

 

Date: 

                            

First Name: 

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Surname:

 
Date of Birth (dd/mm/yyyy):  

Nationality: 

 
Au pair or nanny?  YES   /   NO

     
Phone Number:

 
Email: 

 

Address:   

                                      
Emergency Contact Details:

 
Name:     

 

Phone number: 

Email: 

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Course Details. Please Choose from one of the following:

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Cambridge B2

Cambridge C1

IELTS Academic 7+

OET Nursing

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How many hours per week would you like to study?

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2      4       6      8       10

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Number of weeks:

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Do you have any special educational needs?   

                                       

Do you have any medical conditions ? 

 

Do you have any allergies?

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Do you have any disabilities 

 

Would you like help finding accommodation?

 

Would you like an airport transfer?

I confirm that I have read the Terms and Conditions for Richmond English School, and agree too comply with them.

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Tick box here  

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