English Steps Booking Form
What type of course are you booking? *
Promo Code
Your answer
Name *
Your answer
Phone number *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Email address *
Your answer
Address *
Your answer
Nationality *
Your answer
Emergency contact name *
Your answer
Emergency contact number *
Your answer
Spoken languages
Your answer
Any medical conditions?
Your answer
Any dietary requirements
Your answer
How many weeks do you want to stay at English Steps?
When would you like to arrive in Leeds (normally a Sunday)?
MM
/
DD
/
YYYY
Time
:
How will you arrive to Leeds? Do you require airport pickup (extra cost applies)?
Your answer
When would you like to leave Leeds (normally a Saturday)?
MM
/
DD
/
YYYY
Time
:
How much English have you studied before? Where are you studying now?
Your answer
What things would you like to study and improve during your stay here?
Your answer
What hobbies/sports do you like?
Your answer
What voluntary work are you interested in?
Your answer
How did you discover English Steps? *
Your answer
Please confirm *
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