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International School

Application form (day school)

Application form and General Conditions for the summer holidays 2010, Day School

Full name of the child*
Nationality*	Please selectAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBarbadosBangladeshBelarusBelgiumBelizeBeninBermudaBhutanBotswanaBoliviaBosnia and HerzegovinaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic RepublicCook IslandsCosta RicaCote D'Ivoire (Ivory Coast)Croatia (Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesF.Y.R.O.M. (Macedonia)GabonGambiaGeorgiaGermanyGhanaGibraltarGreat Britain (UK)GreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelIsle of ManItalyJerseyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea (North)Korea (South)KuwaitKyrgyzstanLaosLatviaLebanonLiechtensteinLiberiaLibyaLesothoLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMonacoMoldovaMoroccoMongoliaMontserratMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNeutral ZoneNew CaledoniaNew Zealand (Aotearoa)NicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaS. Georgia and S. Sandwich Isls.Saint Kitts and NevisSaint LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSloveniaSlovak RepublicSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and Miquelon SudanSurinameSvalbard & Jan Mayen IslandsSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUS Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City State (Holy See)VenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe
Date of birth*	12345678910111213141516171819202122232425262728293031  Day JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember  Month 1990199119921993199419951996199719981999200020012002200320042005  Year
Gender*	Male  Female
Religion
Father's name*
Father's profession
Mother's maiden name
Mother's profession
Address of the parents or person in charge*
Phone*
Fax
Mobile phone
Email*
Address in Switzerland
Phone in Switzerland
Accident insurance*	With the school  Private
	CHF 50.- for 3 weeks, CHF 35.- for 2 weeks.
Date of entering school*	12345678910111213141516171819202122232425262728293031  Day JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember  Month 20092010  Year
Date of leaving*	12345678910111213141516171819202122232425262728293031  Day JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember  Month 20092010  Year
Foreign language to learn*	French  English  German  Italian  Spanish
Level*	Beginner  Intermediate  Advanced
Day School*	Full day (9:30 am to 7:15 pm)  Only languages lessons (9:30 am to 12:30 am)
Who recommended our school to you?
	I have read the General Conditions below and I accept them.

GENERAL CONDITIONS

CHF 2'870.- for 3 weeks, CHF 2'245 for 2 weeks: this includes foreign language lessons, services, taxes, supervision, halfboard, accident insurance, expenses for sports, excursions, entertainments, tshirt and cap.
Expenses charged extra: tennis, golf, riding, paintball.
Prices for only languages lessons from 9:30 am to 12:30 am from Monday to Saturday included: for a 2 weeks stay CHF 900.-, for a 3 weeks stay CHF 1'300.-

A deposit of Sfr 600.- (not refundable in case of annulation) is required and is to be paid when the application is sent. The application form has to be sent duly filled in and signed as soon as possible.

• The costof stay is to be paid in advance, at the latest the day of arrival.
• No adjustement in the price is made if the child arrives to school later than the foreseen dates, or leaves it before the agreed day of depature or the end of the term. The price is to be paid completely for the agreed period. The same in the case of absence, withdrawal or expulsion of the child.
• The eventual damages made in the school by the child will be charged to the parents.