Ei t juniorreplypack2017-individual1.docx

English in Totnes
A boutique language school in beautiful Devon
English in Totnes Individual Junior Reply Pack 2017
Please complete this pack and return by email to info@englishintotnes.com or by post to The Gate House, 2
High Street, Totnes, TQ9 5RZ, UK as soon as possible and by no later than 6 weeks before travel. By signing this
pack, you are agreeing to the rules outlined in the EiT Junior Student Handbook.
Por favor complete esta información y envíela por correo electrónico a to info@englishintotnes.com o por
correo postal a The Gate House, 2 High Street, Totnes, TQ9 5RZ, UK lo antes posible y no más tarde de seis
semanas antes del comienzo del curso ( 7 Mayo). Completando esta información está aceptando las reglas
especificadas en el folleto de normas para menores.
PERSONAL INFORMATION
Student Name NOMBRE
Reference (if applicable) IES Carmen
Date of Birth (day/month/year) FECHA DE
NACIMIENTO Age: EDAD
Gender (Male / Female) SEXO
Nationality NACIONALIDAD
Passport Number NUMERO PASAPORTE Expiry Date: FECHA DE
CADUCIDAD
Address DIRECCION
Telephone number NUMERO DE
TELEFONO
Mobile number for use in the UK MOVIL DE
USO EN INGLATERRA
Email address DIRECCION DE CORREO
Emergency Contact Name (NOK)NOMBRE
DE PERSONA DE CONTACTO EN CASO DE
EMERGENCIA. (PARIENTE MAS CERCANO)
Relationship to Student and English level
(RELACION CON EL ALUMNO Y NIVEL DE
INGLÉS)
Emergency Contact Telephone / Mobile
(TELÉFONO DE CONTACTO EN CASO DE
EMERGENCIA/MOVIL
Emergency Contact Email (CORREO
ELECTRÓNICO EN CASO DE EMERGENCIA)
English in Totnes, Gate House, 2 High Street, Totnes, TQ9 5RZ
T: +44 (0)1803 865722, E: info@englishintotnes.com, W: www.englishintotnes.com
Registered in England and Wales. Company no: 7116300. Registered at the above address.

English in Totnes
BOOKING INFORMATION
START DATE: FECHA DE INICIO 17/06/2017 END DATE: FECHA DE FINALIZACIÓN23/06/17
COURSE Booked
Please Tick ( √
)
Play with English
Junior English and Multi-Activity
Junior English and Adventure
Transfer Options –Students under the age of 16 must use one of our transfer options, unless supervised by a parent,
guardian, or group leader. Students 16 – 17 can only travel separately with written permission from a parent / guardian
which has been communicated to us prior to arrival. INFORMATION
ARRIVAL
Day & Date of flight SATURDAY 17/06/17
Airport name BRISTOL
Terminal number (if applicable)
Arrival Time 18:45
Airline & Flight no Easy Jet EZY6036
Service Booked: individual, group
or unaccompanied minor?
SCHOOL GROUP
Are you using our transfer service on Arrival? Yes X☐ No ☐
If yes: Our leader will be waiting for you, holding a sign with your name and our logo. If our leader is not there,
please wait at the Meeting point in your Arrivals Hall. After all students have been met, our transfer service will
depart from the airport to Totnes.
If no: and you are arriving independently where and when will you arrive? e.g. Train station at 12:00.

English in Totnes
_____________________________________________________________________________________________
DEPARTURE
Day & Date of flight FRIDAY 23 JUNE 17 23/06/17
Airport name BRISTOL
Terminal number (if applicable)
Departure Time 17:50
Airline & Flight no Easy Jet EZY6035
Service Booked: individual, group
or unaccompanied minor?
GROUP
Are you using our transfer service on Departure? Yes X☐ No ☐
If yes: we will let you know the details in the week before you leave the school.
If no and you are leaving independently where and when will you leave from? e.g. Train station at 12:00.
Please tick the box to confirm:
GENERAL CONDITIONS: I have read and consented to the rules outlined in the EiT Junior Student Handbook
X☐condiciones generales: he leído y acepto las reglas señaladas en el folleto de alumnos menores.
BEHAVIOUR: I have no concerns that the student will have any difficulty with any of the behaviour requirements
detailed in the EiT Junior Student Handbook X☐
Comportamiento: No tengo dudas de que el alumnos no tendrá problemas en cumplir las normas requeridas
y detalladas en el documento anterior
If you do have concerns about behaviour/support needs, please give details below. EiT will try to support
students but it is essential that we have clear and honest information about them.
Si tiene alguna duda sobre el comportamiento o necesita algún tipo de apoyo, por favor detállelas. EiT intentará
apoyar a los alumnos pero es necesario que tengamos información clara y honesta sobre ellos.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

English in Totnes
SWIMMING: The Activity Programme may contain trips to the swimming pool/watersports or beach activities.
Please tick the box to confirm that the student is able to swim 50 metres without buoyancy aids. ☐
Natación. (no tenemos programado nada)
MEDICATION: I consent to essential medical information being given to selected staff. I confirm that the
student is able to self-medicate (if this is necessary), and will be responsible for their own medication. ☐
Medicación: Doy mi consentimiento para que la información médica esencial sea entregada al personal
necesario. Confirmo que el alumno puede automedicarse y es el responsable de su tratamiento.
Children who are prescribed medication should bring a doctor’s letter with the name of the medicine, the
dosage and the name of the condition for which it has been prescribed, in English. This is in case a child needs
medical attention whilst in England.
Los alumnos que requieran medicación deberían traer un certificado médico la carta de un médico con el
nombre de la medicina, la dosis y el nombre de la dolencia para la cual ha sido prescrita, en Inglés,en caso de
que el alumno necesitara atención médica mientras esté en Inglaterra.
Please give details of known allergies, disability, any recent illness, operations, recent accident or hospital
investigations and any treatments in the below form. Please also include any dietery needs (e.g. vegetarian, no
pork)
Por favor, detalle alergias, discapacidades, enfermedades recientes, operaciones, accidentes recientes o
chequeos y tratamientos en la ficha siguiente. Incluya también necesidades alimentarias (ej. vegetariano, no
come cerdo...)
Certain medical conditions may require information to be given to selected members of staff.
Algunas enfermedades requieren que los miembros del personal sean informados
I accept the conditions above. Acepto las condiciones expuestas en los puntos anteriores.
Name of Student _________________________________________________ nombre alumno
Name of Parent / Guardian _________________________________________nombre padre/Tutor
Signed ______________________________firma_______________________ Date _____________fecha

English in Totnes
PHOTOGRAPHY: EiT may photograph or video students in accordance with EiT’s photography and videoing
policy detailed in the EiT Junior Student Handbook. Please tick this box if you DO NOT agree to this. ☐
EIT puede realizar fotografías o videos a los alumnos siguiendo su política detallada en las normas del folleto de
menores. Marque la casilla si NO está de acuerdo.
DETAILS OF MEDICATION OR EXISTING MEDICAL CONDITIONS detalles de medicación. (si tenéis
dificultades con la traducción, poneros en contacto con ftijeracarrion@educa.madrid.org y os reenvio
traducción .
Name of Student
nombre
Details of existing
medical conditions
Enfermedades
Name of medication
Nombre medicación
Reasons for
medication
Razones para la medicación
Frequency of dosage
Dosis y frecuencia
Dietary Needs (e.g.
Vegetarian, No pork)
Necesidades alimentarias

English in Totnes
Extra
Information/allergies
Otra información, alergias
Please send a doctor’s letter or pharmacy notes as appropriate.
Por favor incluya certificado médico o de farmacia.
Questionnaire- to be completed by the student Cuestionario para el alumno.
Please tell us about yourself by filling in this pre-course questionnaire. Don’t forget also to complete our Online
Test. Complete the sentences below;
My name is …
In my free time …
I’ve never …
Last year …
In the future …
Please tell us about why you want to study English. Complete the sentences below;
I need English for …

English in Totnes
I can …
I want to improve …
I find it difficult to …
By the end of the course, I hope …
Letter of Consent for under 18 to travel abroad unaccompanied
If you are travelling to EiT without your parent, then you may need to tell the UK Border Agency where you are
studying and staying whilst you are in the UK. Please complete and bring this form with you to show the UK
Border Agency, together with your Homestay letter.
Date: ________________ Fecha
To whom it may concern, A quien corresponda
This is a letter of consent to confirm that my son/daughter named
…………………………………………………………………………………………………………..
is visiting the U.K. to attend a course of English language study at English in Totnes.
Esta es una carta para confirmar que mi hijo llamado...... va a visitar Reino Unido para asistir a un
curso de inglés en Totnes.

English in Totnes
Centre name: English in Totnes
Centre address: The Gate House, 2 High Street, Totnes, Devon, TQ9 5RZ
Dates of stay: Fechas From: 17th June To:23rd June…………………………….
My son/daughter will be met and collected from the airport/train station by trained English in Totnes Meet &
Greet personnel who will be waiting at the Arrivals Hall. The student will be accompanied by English in Totnes
staff to Totnes to begin the course.
Mi hijo,a será recibido y acogido en el aeropuerto y será acompañado para comenzar el curso.
English in Totnes is accredited by the British Council for the teaching of English as a foreign language.
Yours faithfully, atentamente
_________________________________________ _______________________________
Signature of Parent/Guardian Firma padre/madre/tutor Date fecha

Ei t juniorreplypack2017-individual1.docx

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