Application for Dive Into English Intermediate

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

50.00 CHF one time, non-refundable registration fee per child will be invoiced once we receive the admission form.
Fees Per Term:
450 CHF Term 1 (Aug - Dec) due by Aug. 15th 390 CHF Term 2 (Jan - March) due by Dec. 15th 270 CHF Term 3 (April - June) due by March 15th
Payment Schedule: *
Termly Yearly
Invoice *
by mail by email, to the following email address:
How did you hear about our school?
via web search recommendation relocation agency other
In order to withdraw your child, a 3 months written notice has to be provided. *
Yes, I understand and agree.
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 Intermediate

Application for Dive Into English Intermediate

STUDENT INFORMATION

FAMILY INFORMATION

FATHER

MOTHER

EMERGENCY CONTACTS

FEES 50.00 CHF one time, non-refundable registration fee per child will be invoiced once we receive the admission form.

FEES

50.00 CHF one time, non-refundable registration fee per child will be invoiced once we receive the admission form.