FORM

Belaf
Language Study Holidays
Established 1975

Site web français

Take a French phrasebook...
www.lexusforlanguages.co.uk

Compulsory fields are marked with an asterisk*.
Please also check the boxes that describe your child’s character. You can check as many as are relevant. There’s also a text box for you to provide further information, if you wish.
When you submit the form you will be taken to a page to make your payment.

Child's First Name*
Child's Last Name*
Date of birth*
Nationality*
Height* (metres)
School year*
Address*
Address
Town/City*
County*
Postcode*
Phone*
Fax
E-mail*
Father's occupation*
Mother's occupation*
No of brothers & ages
No of sisters & ages
How long French studied?*
Attends boarding school?
Previously stayed in France?
Year of Stay
Duration of stay
Religion, if practising
Mature for age
Average Maturity
Young for Age
Enthusiastic
Introvert
Extrovert
Sensible
Unreliable
Sociable
Easy-going
Sensitive
Creative/artistic
Keen on sport
Dislikes sport
List hobbies/interests
Special Requirements - diet, allergies etc
Non-authorised activities
Dates for stay in France*
Dates to host in Britain (exchanges only)
Last day of summer term
Name of child's school*
School telephone*
School email
Person (not family) to supply family character reference
Referee Tel No
Referee email
Any other information
I agree to terms & conditions*

www.french-exchange.co.uk

Email:enquiries@french-exchange.co.uk