Adult Registration Form

Use the form below to apply for a place on an adult course.

On receipt of your form we will send you confirmation of your details together with information about your accommodation and details of payment.

If you have any questions please don't hesitate to contact us on 00 44 (0)1843 874870

(n.b. If there is a red asterisk on the righthand side of the input box like this: * the item is required and the form will not send without it )

Personal Details
Family Name(s):
*
First Name(s):
*
1st line of address:
*
2nd line of address:
Town/City:
*
Post Code:
*
Country:
*
Home Phone:
Mobile Phone:
Fax Number:
Email Address:
*
Date of birth:
*
Nationality:
*
Sex:
Male Female *
Language Level:
*
Company Details (if applicable)
Company or Organisation:
Your Job:
1st line of address:
2nd line of address:
Town/City:
Post Code:
Country:
Telephone Number:
Fax Number:
Email address:
Course Details
Type of Course:
*
Preferred arrival date:
*
Length of course:
*
Accommodation *
Guest House with bed & breakfast
Hotel with bed & breakfast
Single room accommodation with a host family with bed, breakfast & evening meal
Host family accommodation ONLY: if you have chosen accommodation with a host family, please tick the boxes below if you answer 'YES' to the following questions *
Do you require a special diet?
Do you smoke?
Do you have any allergies?
Payment Details
Mailing address for invoice:
Travel Arrangements
Would you like KSE to arrange for a taxi from an airport or seaport?
Further Information
Please give any further information here:
Confirm by:
Reply by: Post AND Email Telephone Fax