Book Your Course

YOUR COURSE
Please fill in the form below and we will email you as soon as possible to confirm the place.
Select your English course*
Study period*
Please select one
Study period*
Please select one
Arrival Date*
Book your 2 week English course with us in 2021
Arrival Date*
Book your 3 week English course with us in 2021
Arrival Date*
Book your 4 week English course with us in 2021
Arrival Date*
Book your 3 week Cambridge FCE course with us in 2021
OPTIONAL EXCURSION TO LONDON (AT EXTRA COST)
Do you want to book the London excursion?*
- Yes
- No
Excursion Date*
Please select one
YOUR DETAILS
Student's First Name(s)*
Student's Family Name (as written on your passport/ID card)*
Gender*
- Male
- Female
Date of Birth*
Date Format: DD slash MM slash YYYY
Mother Tongue*
2nd Mother Tongue?
Full Postal Address*
Street, house, flat and NUMBER City ZIP / Postal Code Country
Parent's email for this booking*
(Please do NOT use an email address ending in “@fastwebnet.it”)
Enter Email Repeat Email
Home Phone*
Student's mobile number (+ Country Code and mobile number)
Passport/ID card no

OTHER INFORMATION
Details of any allergies and medical or physical conditions you have and medicines you are taking
Please send details of any special requests, including all request made in emails to us
Extra information you should tell us
Full name of parents or guardians*
Emergency contact or telephone number of parent or guardian
How did you hear about us?*
Terms and conditions*
I have read the Terms and Conditions
* Yes, I (or my legal guardian) have read and understood how the Isca School processes my personal data as set out in the (GDPR) Privacy Policy, and agree to the Isca School's use of my personal data for direct marketing purposes.*
Comments
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YOUR COURSE