Application for Dive Into English Beginner

Wednesday 13:30-15:30

STUDENT INFORMATION
Name * First Last
Date of Birth * / DD / MM YYYY
Sex *
Female Male
Mother Tongue (First Language) *
Date Joining:
Does your child have allergies? *
No yes, please specify:
Does your child take regular medication? *
No yes, please specify:
FAMILY INFORMATION
FATHER
Name * First Last
Nationality
Home Phone Number: *
Mobile Number: *
Email: *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
MOTHER
Name * First Last
Nationality:
Home Phone Number: *
Mobile Number: *
Email: *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name of Accident Insurance Company: *
Policy Number: *
EMERGENCY CONTACTS
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Number: *
Mobile Number: *
Email:
Relationship: *
FEES

Must be paid one month prior to the beginning of the term.
Fees Per Term: *
450 CHF Term 1 (Aug - Dec) 390 CHF Term 2 (Jan - March) 270 CHF Term 3 (April - June)
Payment Schedule:
Termly Yearly
Invoice *
by mail by email, to the following email address:
Payment *
Bank Transfer - This information will be on your invoice.
How did you hear about our school?
via web search recommendation relocation agency other
I/We confirm that we have read, understood and agree to the British School Bern School Fees, Financial Policy and Admission Policy and understand the conditions for the payment and withdrawal of the student from The British School Bern.

Admission Policy:
http://britishschool.ch/admission-policy/

School Fees and Financial Policy: http://britishschool.ch/admissions/fees-financialpolicy/ *

Clear
School Fees, Financial Policy and Admission Policy are on the school website. Admission Policy: http://britishschool.ch/admission-policy/ School Fees and Financial Policy: http://britishschool.ch/admissions/fees-financialpolicy/
Date * / DD / MM YYYY

Application for Dive Into English Beginner

Application for Dive Into English Beginner

STUDENT INFORMATION

FAMILY INFORMATION

FATHER

MOTHER

EMERGENCY CONTACTS

FEES