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LAL Application Form 2018

This application form is solely for the booking of Courses at LAL Language Centres in accordance with the Terms and Conditions for students (which can be found at www.lalschools.com/terms).

Student's Details
Name for booking (exactly as shown on passport)*
First Name(s) Family Name(s)
Sex*
This should be as shown in your passport.
- Male
- Female
- Other
Sex - Other*
Date of Birth*
Country of Birth*
Passport Number
Nationality as stated in passport*
Telephone*
Including country code (e.g. +44 for England)
Mobile Telephone
Including country code (e.g. +44 for England)
Emergency Contact Number:*
Student's E-mail
Address*
Address Line 1 Address Line 2 City Post Code/Zip Code Country
The Course
Please indicate if you are booking an Adult course or Young Learner course:*
- Adult
- Young Learner
Start Date*
End Date*
What is your English level?
You can read about our levels at www.lalschools.com/levels
- CEF A1 (Elementary)
- CEF A2 (Pre-intermediate)
- CEF B1 (Intermediate)
- CEF B2 (Upper-intermediate)
- CEF C1 (Advanced)
- CEF C2 (Post-advanced)
Adults
Choose an Adult centre*
Adult Courses*
Programme Type
Supplementary Courses (2018)
Apart from Afternoon English, these courses must be taken with an Adult course of 15 hours or less from the list above.
If you would like to purchase insurance through LAL, tick here (UK, SA and USA only):
- Yes
If you have already arranged insurance, please state your insurer:
Policy number:
Young Learner
Choose a Young Learner centre*
YL Programme Type*
Which programme?
If you wish to book an Optional Programme, Supplementary Course or Plus option, please state this here:
Accommodation
Accommodation Options*
Name of Hotel or Guest House*
Accommodation Arrival Date*
Accommodation Departure Date*
Room Type*
- Single Room
- Twin Room
- Double Room
- Triple Room
- Dormitory
Young Learner Accommodation and Day Programme Options
- Residence, 1-2 beds per room, shared bathroom
- Residence, 2-4 beds per room, shared bathroom
- Residence 2-6 beds per room, shared bathroom
- Residence, 4 beds per room, shared bathroom
- Residence, 6 beds per room, shared bathroom
- Residence, single room, shared bathroom
- Residence, single room, private bathroom
- Residence, shared room, shared bathroom
- Club Residence
- Centre Residence
- Homestay
- Tuition Only
- Daytime
- Full Day
If you know with whom you would like to share, please state their name here:
First Last
If available, do you want an en-suite/private bathroom?
- Yes
- No
Residence Food Options
- Room Only
- Bed and Breakfast
- Half Board (Breakfast and Evening Meal)
- Half Board (Breakfast and Lunch - only available in Cape Town)
Homestay Food Options
- Room Only
- Bed and Breakfast
- Half Board (Breakfast and Evening Meal)
- Full Board (Breakfast and Evening Meal, with lunch at school Monday to Friday)
Are there any animals you cannot live with (for example, dogs)?
- Yes
- No
Which animals?
Do you require smoking accommodation if it is available?
- Yes
- No
Transfers
Do you require transfers?*
- Yes
- No
How will the student be brought to/taken from the school?
Which transfers do you require?*
- Arrival
- Departure
Arrival Transfer Date*
Arrival flight*
The price may vary depending on the airport and time of transfers. If you have not yet booked a flight, please indicate at least which airport the passenger will be landing at, and type 'unknown' in any fields you do not yet know.
From (Airport) Departure Time To (Airport) Landing Time Flight Code
Please tick if the passenger will be travelling as an Unaccompanied Minor:
- Unaccompanied Minor on arrival
Departure Transfer Date*
Departure flight*
The price may vary depending on the airport and time of transfers. If you have not yet booked a flight, please indicate at least which airport the passenger will be departing from, and type 'unknown' in any fields you do not yet know.
From (Airport) Departure Time To (Airport) Landing Time Flight Code
Please tick if the passenger will be travelling as an Unaccompanied Minor:
- Unaccompanied Minor on departure
Special Requirements and Health
Do you have any allergies, medical conditions, special dietary requirements, disabilities or special educational needs?*
- Yes
- No
Please specify*
Any other special instructions or requirements?
If you agree to LAL using your image for photography, filming or sound recording, please tick here. LAL will only use your image for its own promotional materials and will secure your data. Please see our Privacy Policy for more information on how LAL manages personal data.
- Yes
Would you like to sign up for the LAL Newsletter?
- Yes
- No
Declaration
By submitting this application form you are agreeing that: you have read, understand and agree to the Terms and Conditions for Students and the privacy policy at www.lalschools.com/terms and the current Price List of LAL Language Centres; the laws of the place where the LAL Language Centre where you will study is located will apply to any agreement arising out of this application form, and you will abide by and study within the terms of any visa which may be required for your course.
I declare that the information on this form is correct:*
- Yes
Your Name*
First Last
Your E-mail Address*
Enter your e-mail address Confirm your e-mail address
Agency (if applicable)
Phone
This field is for validation purposes and should be left unchanged.

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