Student:
Please fill in all fields marked "*"
We guarantee that your personal information
will be protected and will not be used for any commercial purposes.
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| Name: |
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| Last Name: |
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| Date of Birth: |
* DD-MM-YY |
| Gender: |
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| Street: |
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| Post Code: |
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| City: |
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| Country: |
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| E-Mail: |
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| Telephone Number: |
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| Name of School: |
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| Street: |
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| Post Code: |
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| Area: |
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| Type of High School: |
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| Name of Language Teacher: |
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| Name of School Headmaster: |
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| Year Level: |
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| Average Grade: |
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| Should we be aware of anything, such as allergies, vegetarian
eating habits? |
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I am booking the following program for
my son/daughter: |
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U20 Junior Language Program
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| Destination: |
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| From/to: DD-MM-YY |
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| Type of Course: |
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| Accommodation: |
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Host Family (2 -3 bedded rooms) |
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School Residence (depending on which destination you
choose, two-bedded, three-bedded or multi-bedded rooms) |
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U20 Club Village (only in Malta, three-bedded room) |
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| Insurance |
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Cancellation insurance 2% or at least 50,- EUR |
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Personal Travel Insurance 50,- EUR per person per month |
| (travel - health
-, emergency -, luggage insurance, all inclusive: Euro 43,-) |
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| Requests / Comments |
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