EmailMe Form - French Exchange

French Exchange

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.
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 *
Telephone *
Email *
Father's Occupation *
Mother's Occupation *
No of Brothers & ages
No of Sisters & ages
How long French studied? *
Attends boarding school? *
Yes
No
Previously stayed in France? *
Yes
No
Year of stay
Duration of stay
Religion, if practising
Mature for age
Yes
Average maturity
Yes
Young for age
Yes
Enthusiastic
Yes
Introvert
Yes
Extrovert
Yes
Sensible
Yes
Sociable
Yes
Easy-going
Yes
Sensitive
Yes
Creative/artistic
Yes
Keen on sport
Yes
Dislikes sport
Yes
List hobbies/interests *
Special requirements
eg diet, allergies
Non-authorised activities,
if any
Dates for stay
in France
Dates to host in Britain
(exchanges only)
Last day of summer term
Name of child's school *
School email
Person to supply family
character reference (not family)
Referee telephone no
Referee email
I agree to Terms & Conditions *
Yes

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