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Book nowYannovich2022-05-18T21:36:05+00:00
en English
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1BOOKING DETAILS
2PERSONAL DETAILS
3PARENTAL CONSENT

YOUR COURSE

YOUR ACCOMMODATION

The above is a summary of your booking information and current booking availability. Please review these details to ensure they are correct before moving onto the next step.

STUDENT DETAILS

Name*
Male / Female*

Other information

MM slash DD slash YYYY
Nationality*

MEDICAL AND DIETARY INFORMATION

Has the student been fully vaccinated for Covid-19?*
Does the student have any allergies?*
Does the Student have any dietary requirements?*
Please indicate what type of diet requirements*
Does the Student have any medical condition or physical/mental disability?*
E.g. visual impairment, hearing impairment, asthma, fainting, headaches, bed wetting, incontinence,...
Is the Student taking any medication?*

WELFARE INFORMATION

Does the Student need any help with mobility?*
Does the Student need any help with social interaction, for example, is the student shy? Is it difficult for him/her to make friends?*
Does the Student need any support in the classroom?*
E.g. is the Student dyslexic?

PARENT/GUARDIAN CONTACT DETAILS

Address*
Does the parent/guardian named above speak some English?*
Please indicate the number of the person who can speak English in case of an emergency

MEDICAL

Medical consent*
Medical consent*
*
Medical consent*
*

PUBLICITY

Country Cousins takes photographs and videos of individuals and groups of students for use in its publicity material and in social media (Facebook and Instagram mainly). Please tick the boxes below if you are willing for the Student to be included in such group photographs/videos.
I consent to photographs being taken of my son/daughter and used in publicity materials, either individually or as part of a group*
I consent to videos being taken of my son/daughter and used in publicity materials, either individually or as part of a group*
I consent to photos/videos being taken of my son/daughter and used on social media platforms, such as Instagram and Facebook*

TRAVEL

Students will be met and collected from the airport/train station by trained Country Cousins ‘Meet & Greet personnel’ who will be waiting at the Arrivals hall. The student will be accompanied by Country Cousins staff to Country Cousins Devon to begin the course.
I agree for the care arrangements for my child’s travel to, reception and care while in the United Kingdom and confirm that my child has my consent to live and travel independently*

ADDITIONAL FREEDOM

Country Cousins has curfew times according to the age of students. Students are supervised during the day whilst in lessons and on activities. There are times where the students have additional freedom, for example walking to/from school -home, or meeting up friends on weekends and evenings. For children 11 to 15 years old we will presume they may have additional freedom. Please tick the boxes below accordingly.
I agree with the levels of supervision offered to students at Country Cousins and I am aware on additional freedom around town or with staff members at limited times. https://www.country-cousins.com/about-us/policies*
The following times indicate when students needs to be back in their accommodation. Up to 10 years old: evening activities only 11 & 12 years old: 9pm 13 & 14 years old: 9.30pm 15 & 16 years old: 10.00pm 17 years old: 10.30pm

DECLARATION

You must sign and agree before submitting this booking form.
Agreement*
Agreement*
Agreement*
https://www.country-cousins.com/about-us/policies I will help Country Cousins to ensure that my son/daughter respects the rules of Country Cousins and homestay.
Name*

What Next?

  • Book Your Courses Now!

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  • Email Us : help@country-cousins.com

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Testimonials

“I really enjoy going to Country Cousins school. There are really good teachers, there was a lot of fun and my host family is really nice :)”

Tereza, 14 – Czech

“I liked the beautiful scenenary of North Devon, the food was good, we did games to learn English and all the teachers were kind”

Morgan, 13 from France

“I liked the food and people, the lessons were really interesting and the teachers were really nice. I really liked the drama lessons.”

Jeanne, 15 from France

“The teacher - Andrew was super! The dog in the family was cute and super. 🙂 I want to visit Ilfracombe and North Devon again. ❤”

Sebastian, 15 – Italian
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