Mayflower College enrolment form

Mayflower College Enrolment Form
Personal Information
First name	Age
Family name	Date of Birth (day / month / year)
Address	Sex	Marital Status
City	Do you have any children?	Name and ages?
State/Province	Nationality
Zip/Postal Code	Passport Number
Country	Native Language
Phone	Occupation (if you are a student please write the subject you are studying)
E-mail	Fax
Do you smoke?	What are your hobbies?
Are you allergic to animals? If 'Yes', please give details	Do you have any other allergies / illnesses? If 'Yes', please give details
Do you have any special dietary needs? If 'Yes', please give details	Have you studied at Mayflower College before? If 'Yes', please give details
How did you hear about Mayflower College? If 'Other', please give details	Will you study for another qualification after your course at Mayflower College? If 'Yes', what subject, where and when?
Do you have a Promotional Code?
Emergency contact details: Please provide details of a parent, family member or friend to contact in an emergency. Name of contact: Contact information (telephone no. / mobile no., address) Relationship (for example, mother, husband, friend, etc)
Visa nationals
Some nationalities need to obtain a visa to study in the UK. Here is a list of "Visa Nationals". Are you applying for a visa to come to the UK? If YES, what type of visa will you apply for? Comments?

Course Information
Which course would you like to take? If 'Other', please specify
Date to begin your course? (Monday)	Day Month Year
Date to end your course? (Friday)	Day Month Year

Arrival / Departure Information
Date of Arrival in Plymouth? (Sunday)	Day Month Year
Time of Arrival in Plymouth? I don't know yet - I will inform you later	: h am/pm? Place of arrival in Plymouth
Date of Departure from Plymouth? (Saturday / Sunday)	Day Month Year
Time of Departure from Plymouth? I don't know yet - I will inform you later	: h am pm? Place of departure from Plymouth

Homestay accommodation
Do you require homestay accommodation in Plymouth?	If 'Yes', then:-
Children under 10 years in homestay? Cats in homestay? Dogs in homestay? Hosts who smoke?
Wherever possible every effort will be made to meet your requirements. However, this cannot be guaranteed. By selecting "Not important" you will have a greater choice of homestay accommodation. A "retainer" fee is payable to homestay families if students vacate their accommodation for a temporary period.
Medical / Travel Insurance
We strongly recommend that you have insurance for your trip to UK.	Do you require medical / travel insurance? The cost is GBP 5.50 per week
Cover includes: 1. Cancellation, Curtailment or Change of Itinerary 2. Course Fees 3. Medical Expenses 4. Personal Belongings 5. Money 6. Personal Liability 7. Overseas Legal Expenses 8. Personal Accident	* For a summary of the benefits click here * For the complete policy wording click here
Public Holidays in the UK
In 2015 there will be no lessons on the following public holidays but an excursion will be provided instead: Fri 25 March - Good Friday Mon 28 March - Easter Monday Mon 2 May - Early May bank holiday Mon 30 May - Spring bank holiday Mon 29 August - Summer bank holiday Christmas Holidays 2016/17: Mayflower College will close on Friday 23 December 2016 and will re-open again on Monday 9 January 2017.
English courses on the internet (see www.study-english-online.com for further information)
If you take a course at Mayflower College then you can receive a special discount of 20% on our online English courses by registering now: General English - 3 month - GBP 16.80 (normal price GBP 21) General English - 6 months - GBP 25.60 (normal price GBP 32) General English - 12 months - GBP 41.60 (normal price GBP 52) Aviation English - 50 weeks - GBP 80.00 (normal price GBP 100)
Payment details	Cancellation Policy
You need to pay a deposit of GBP 150 to secure your enrolment (or EUR 242 for Courses for Teachers). The balance of the fees must be made in full at least 4 weeks before arrival. Payment may be made either: By Sterling cheque drawn on a bank in the UK. Cheques should be made payable to 'Mayflower College' By Bank-to-Bank transfer to: Name of Account: Mayflower College Account Number: 01578070 Bank: Lloyds TSB, 8 Royal Parade, Plymouth PL1 1HB, England Bank sort code: 30-96-68 SWIFT / BIC code: LOYDGB21082 IBAN: GB 71 LOYD 3096 68 015780 70 N.B. The Mayflower College is not responsible for any bank charges. If we do not receive the course fees in full then you will be expected to pay the outstanding amount upon arrival. By online credit card - click here. You must add a 3% supplement if you pay by credit card.	Before your course begins: The deposit of GBP 150 is non-refundable. If you decide to cancel your course the remainder of the fees are refunded as follows: 30 days before start date - 100% 15-29 days before start date - 85% 7-14 days before start date - 70% 1-6 days before start date - 50% During your course: If a student does not attend the course or is absent due to illness, there is no refund. If a student wishes to take a holiday, shorten their course or reduce the number of hours tuition, they will receive 75% cash refund or 100% credits for a future course IF THE SCHOOL IS INFORMED AT LEAST 3 WEEKS BEFORE THE CHANGE IS DUE TO BE MADE. If a student informs the college of a change less than 3 weeks before the change is due to be made, s/he will not receive any cash or credits.
The Mayflower College reserves the right to ask a student to leave because of misconduct (unacceptable behaviour), non-payment of fees or non-attendance.

Payments made
For payment options please click here: I have paid my deposit of GBP 150 (or EUR 242 for Courses for Teachers) by If 'Other', please specify:	Date I paid my deposit: Day Month Year Have you paid your fees in full?