Bournemouth One to One
English Language School
English
Fill in this form to let us know what type of course you are interested in. We will inform you if the dates that you want are available.
Note: All classes start on a Monday and finish on a Friday. Host family accommodation is from Saturday to Saturday
All boxes marked * must be completed
1st Choice*
2nd Choice
1st Choice Start date *
Finish date *
2nd Choice Start date
Finish date
Number of lessons per week: *
2025303540
Number of lunches with teacher per week: *
012
Name: *
Date of Birth: *
Sex: *
malefemale
Company:
Address: *
Town: *
Region:
Post Code: *
Country: *
Telephone: *
Fax:
Email: *
Preferred accommodation:*
Host FamilyHotel
Do you smoke? *
yesno
Do you prefer a non-smoking family? *
Do you need a special diet? *
Details (e.g. vegetarian)
Do you have mobility problems? *
Details (e.g. stairs)
Do you object to young children?*
Do you object to cats? *
Do you object to dogs? *
Any other information that we should know about you
Please check that all of the information is correct and then press 'Send'
Once we receive this form we will confirm your reservation dates.
We will then contact you to obtain information from you about your language needs and about your payment and travel plans.
19 Lowther Road
Bournemouth
BH8 8NG
UK
Tel + 44 1202 257775
Fax + 44 870 1231752
E-mail: admin@bournemouth121.com
