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Please complete this form in as much detail as possible. We will need this information to be able to process your application for a place for your child on our immersion programme. If you do not complete the mandatory sections in full we will not be able to confirm the booking.

Information which is mandatory for you to provide is indicated in the form by an *

For further information about how we may use your and your child's personal information please read our Privacy Policy.

Your child's details

Name
Gender
Home address

First parent or guardian details

We will use this contact in case of an emergency
Name
e.g. father, mother
Home address

Second parent or guardian's details

Name
e.g. father, mother, aunt
Home address

Immersion Programme Period

We offer two- and three-week immersion programmes for children aged 3 - 11 at Bassett House.

Please select dates below

From
To

Information about your child

Please note that we may ask for further information about any of the details you include in the boxes above.

Declarations

By completing and submitting this booking form, I/we declare that:

  1. I/We have read and agree to the terms and conditions of the Bassett House School Immersion Terms and Conditions.
  2. I/We have read the Bassett House Privacy Policy published on the school's website.
  3. I/We understand that places on the Immersion Programme are subject to availability and to me/us providing full disclosure of all information requested by the school.
  4. I/We understand that a legally binding agreement between Bassett House School and me/us will be formed when I/we receive an electronic confirmation after submitting this online booking form and paying the programme fees.
  5. I/We agree that all declarations made are accurate and true, and any misleading declaration will result in the termination of any contract between Bassett House School and me/us.