Kampinos Junior Centre

Fees

Programme Includes
	Academic Programme
	Activities Programme
	Full-board accommodation
	Certificate & report
	Insurance

Programme Fees

Programme with residential accommodation (en-suite) - € 470 per week

Enrolment fee - € 60

Airport transfers

The above prices are not applicable to students from Russia, Italy, Romania and Greece. Students from these countries should contact us at info@lewis-school.co.uk, so we can forward their request to the local representative.

Book a Course

Please read the Conditions of Enrolment before completing this form.

Places are subject to availability.

* indicates required information.

Download an enrolment form to send by post/fax

Personal Information
Student's Family Name	*
Student's First Name	*
Date of Birth	Day Month Year *
Sex	Male Female *
Nationality	*
Mother Tongue	*
Level of English	*
How long have you been studying English?	years and months *
Please give details of any health problems, and any other information you feel we should know.

Student's Contact Details
Street	*
City	*
State/Region	*
Postcode/Zip Code	*
Country	*
Telephone	*
Mobile
Email
Emergency Contact: Name	*
Emergency Contact: Telephone	*

Contact Details for billing
Your Name	*
Telephone	*
Email	*
Fax
Relationship to Student	*
Plus, if different from above:
Street
City
State/Region
Postcode/Zip Code
Country

Course Information
Junior Programme with:
Number of weeks	*
Start date (Saturday)	*
Accommodation
Arrival date
Leaving date

Payment Details
Pay enrolment fee (€ 60)	*
Pay balance	*
Bank transfer: The school's bank details are as follows. Pay: Lewis Schools Ltd Bank's address: Lloyds TSB Bank, 19-21 High Street, Southampton SO14 2SE, UK Account number: 00064804 Bank Sort code: 30-97-80 BIC: LOYDGB21032 IBAN: GB88 LOYD 3097 8000 0648 04 Please use the student’s full name as the bank reference for us. You must pay all bank charges. Please check with your bank when you make the transfer. You will be asked to settle all unpaid bank charges a minimum of two weeks before arrival. Cheques: Payable to Lewis Schools Ltd Credit Card: There is a 2% surcharge on all payments by credit card. The Lewis School does not have a secure Internet connection. Please print our Credit / Debit Card Payment form and send it to us by POST or FAX. Debit card: There is no surcharge on payments by debit card. The Lewis School does not have a secure Internet connection. Please print our Credit / Debit Card Payment form and send it to us by POST or FAX

How did you hear about the Lewis School?	*
Before you submit	I have read and agree to the terms and conditions of enrolment. *



As soon as we receive your booking form we will confirm your place and send you an enrolment letter and an invoice.

Kampinos Junior Centre

Fees

Academic Programme

Activities Programme

Full-board accommodation

Certificate & report

Insurance

Book a Course

Please read the Conditions of Enrolment before completing this form.

Places are subject to availability.

* indicates required information.

Download an enrolment form to send by post/fax

Personal Information

Student's Family Name

Student's First Name

Date of Birth

Sex

Nationality

Mother Tongue

Level of English

How long have you been studying English?

Please give details of any health problems, and any other information you feel we should know.

Student's Contact Details

Street

City

State/Region

Postcode/Zip Code

Country

Telephone

Mobile

Email

Emergency Contact: Name

Emergency Contact: Telephone

Contact Details for billing

Your Name

Telephone

Email

Fax

Relationship to Student

Plus, if different from above:

Street

City

State/Region

Postcode/Zip Code

Country

Course Information

Junior Programme with:

Number of weeks

Start date (Saturday)

Accommodation

Arrival date

Leaving date

Payment Details

Pay enrolment fee (€ 60)

Pay balance

Bank transfer: The school's bank details are as follows.

Please use the student’s full name as the bank reference for us. You must pay all bank charges. Please check with your bank when you make the transfer. You will be asked to settle all unpaid bank charges a minimum of two weeks before arrival.

Cheques: Payable to Lewis Schools Ltd

Credit Card: There is a 2% surcharge on all payments by credit card. The Lewis School does not have a secure Internet connection. Please print our Credit / Debit Card Payment form and send it to us by POST or FAX.

Debit card: There is no surcharge on payments by debit card. The Lewis School does not have a secure Internet connection. Please print our Credit / Debit Card Payment form and send it to us by POST or FAX

How did you hear about the Lewis School?

Before you submit

As soon as we receive your booking form we will confirm your place and send you an enrolment letter and an invoice.