Student Information

First Name*

Family Name*

Known as

Date of birth (day/month/year)*

Student email address

Gender*
—Please choose an option—MaleFemale

Nationality*

First language*

Where will the student be living during their English course? Please put the town/city and the country of residence.

What is the student’s current level of English (if known)?*
—Please choose an option—I am not sureA2 ElementaryA2/B1 Pre-IntermediateB1 IntermediateB2 Upper IntermediateC1 AdvancedC2 Proficiency

Does the student have any learning difficulties we need to be aware of? (This information will be kept confidential and only passed to the tutor)*

Course Details

Please choose your course.*
—Please choose an option—ScienceDramaMusicBusiness

Parent/Guardian

Full Name*

Address*

Email address*

Telephone number*

Relationship to the student*
—Please choose an option—ParentGuardian

Please read the consent form and click in the box to say that you consent for your child/ward to have online lessons through Harrow School Short Courses.

Yes, I give my consent

Please read our terms and conditions and click in the box to say that you have read and understood them.

Yes, I have read and understand the terms and conditions.

Important Information:

In order to participate on this course the student will need:

• a computer or large tablet

• a broadband internet connection

• a webcam and headphones

Where did you hear about our online courses?

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