Student Enrolment Form - English Language Centre Bristol

Visas
Please check if you require a visa to study via the government website here.
Which type of visa will you apply for?*
Emergency details
Name of emergency contact
Who should we contact in an emergency? (Please choose someone who speaks English)
First Last
Relation to you
(e.g. father, wife)
Telephone
About the school
How did you find out about the school?*
Why do you want to study English in Bristol?*

Course details
Course Start Date*
DD dash MM dash YYYY
Course End Date*
DD dash MM dash YYYY
Number of weeks*
Level of English
If you don't know, please use our test.
Elementary level students must start their course on a main course starting date. You can find more information about this in the dates and fees section of our website
Do you want to prepare for a particular examination?
Which examination*

Accommodation
Would you like us to arrange your accommodation?*
Type of accommodation required*
(You should arrive on a Sunday and leave on a Saturday)
Date accommodation required from*
DD dash MM dash YYYY
Date accommodation required to*
DD dash MM dash YYYY
Number of weeks
Do you smoke?
(Please note all accommodation is non-smoking)
If you have any allergies, a special diet or other requirements, please give details:
If you are vegetarian, please give details of what you can and cannot eat:
What are your interests?
Address in Bristol
(If the school is not arranging your accommodation)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Telephone
Arrival information
Would you like an arrival airport transfer to be arranged for you?*
View transfer prices
Arrival airport*
Would you like a departure airport transfer to be arranged for you?*
View transfer prices
Departure airport*

Deposit
In order to make a booking you must pay a deposit of £400.
How will you pay?*
Flywire allows you to pay from almost any country and in almost any currency by bank transfer, credit card and other local payment methods with no transaction fees at an agreed currency rate. Help is available in several different languages.
Declaration
Terms and conditions*
- I’ve read and accept the terms and conditions.
Enrolment procedure.*
- I’ve read and accept the enrolment procedure.
Privacy*
- By submitting this form, you agree with the storage and handling of your data by this website in accordance with our privacy policy.

Enrolment Form