Anglo Academy 2020 - Application
Please complete this form as accurately as possible. Please note that all information given to us is strictly confidential and will not be passed onto any third parties.

This form is to be completed for EACH individual child, including children within the same family.

Please note that we cannot accept any students onto the course without this form of consent.
Student Information
First name of student (as shown in official identification) *
Your answer
Surname of student *
Your answer
Other Name
Your answer
Sex *
Date of birth *
MM
/
DD
/
YYYY
Correspondence Address (This will be used for post-course information so needs to be accurate to receive a report and certificate to) *
Your answer
Phone Number (including country code) *
Your answer
Which camp(s) are you applying for? *
Required
Have you attended any of our course before? *
Native Language *
Your answer
Other languages spoken *
Your answer
Can you swim 50m unaided? *
Longest time away from home before *
Your answer
Aims of the course *
Are there any major health issues that could hinder your experience on the course? A full health for allergies, dietary requirements and minor ailments will be sent later on. *
Your answer
Parental Information
Forename of parents *
Your answer
Surname of parents *
Your answer
Correspondence address (if different from student)
Your answer
Phone Number (including country code) *
Your answer
Email address *
Your answer
Level of English for correspondence and emergencies *
Preferred form of communication *
Relationship to Student *
Your answer
How did you hear about Anglo Academy? *
Britannia Consultant (if any)
Your answer
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