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: 

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: 

Course Details. Please Choose from one of the following:

Cambridge B2

Cambridge C1

IELTS Academic 7+

OET Nursing

How many hours per week would you like to study?

2      4       6      8       10

Number of weeks:

Do you have any special educational needs?   

                                       

Do you have any medical conditions ? 

 

Do you have any allergies?

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.

Tick box here