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) *
Surname of student *
Other/Preferred name
Sex *
Date of birth *
Correspondence Address (This will be used for post-course information so needs to be accurate to receive a report and certificate to) *
Phone Number (including country code) *
Which camp(s) are you applying for? *
Our residential and half-day camps are no longer available. Please join our full-day camp instead. Thank you!
Which option are you applying for? *
Have you attended any of our course before? *
Native Language *
Other languages spoken *
Can you swim 50m unaided? *
Longest time away from home before *
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. *
Parental Information
Forename of parents *
Surname of parents *
Correspondence address (if different from student)
Phone Number (including country code) *
Email address *
Level of English for correspondence and emergencies *
Preferred form of communication *
Relationship to Student *
How did you hear about Anglo Academy? *
Consultant/ Referral (if any)
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