Address: English Language Homestays 32A High Street, Shoreham by sea, BN43 5DA
Telephone: +44 1273 462772

Please complete our provisional booking form so that we can provide you with the best English Langauge learning Experience with us.By completing this booking form I consent to the processing of my personal data for the specific purpose of booking a course with English Language Homestays.
I AM ENROLLING FOR: (*)
Which Aviation English Course?
Duration
Number of hours tuition per week:
Which Location do you prefer
Start date (usually Sunday):
End date (usually Saturday):
Name
First Last
Gender: (*)
- Male
- Female
Date of Birth (*):
Nationality: (*)
Email: (*)

*Must be your own email - we will not use this for marketing.
Address: (*)
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Home Telephone:
Student Mobile: (*)
Student Occupation:
Interests and Hobbies:
Native Language (s): (*)
How long have you been studying English?: (*)
Current level of English: (*)
What do you feel are your weaknesses when learning English?
I am currently studying English with: (*)
WHICH LANGUAGE SKILLS DO YOU WANT TO WORK ON?:
- Speaking
- Listening
- Reading
- Writing
- Grammar
- Vocabulary
What do you want to achieve from the course?:
Which location would you prefer:

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