January 2025 English classes Programme Registration Form for external students

Parent's Name and Surnamerequired

First Name

Last Name

Parents' Telephone number required

Please include the full number including the country code. e.g. +41 for Switzerland

Parent's Email Addressrequired

Child 1 - First name and Surnamerequired

First Name

Last Name

Child 1 - date of birth required

dd/mm/yyyy (Must contain a date in D/M/YYYY format)

Child 2 - First name and Surname

First Name

Last Name

Child 2 - date of birth

dd/mm/yyyy (Must contain a date in D/M/YYYY format)

Child 3 - First name and Surname

First Name

Last Name

Child 3 - date of birth

dd/mm/yyyy (Must contain a date in D/M/YYYY format)

Do your children have allergies/dietary requirements and/or take medications?required

If you answered yes to the question above, please provide detailed instructions mentioning each child's name in the space below.

Are your children native English speakers or have attended an English speaking school before?required

If your children aren't native English speakers, could you please describe their spoken, reading and writing level of English?

I would like to register my child for the English class programme at a cost of 1,045 CHF:requiredNo classes during Fasnacht Holidays 5th & 12th March or Easter Holidays - 16th & 23rd April 2025

I understand I will be invoiced 1,045 CHF for the programme and places are not confirmed until the invoice is paid.

No classes during Fasnacht Holidays 5th & 12th March or Easter Holidays - 16th & 23rd April 2025

I would like my children to join ELA Basel for lunch at a cost of 285 CHF per semester: required

Yes

No

I would like my child to attend additional programmes after the English class at ELA Basel:requiredNo classes during Fasnacht Holidays 5th & 12th March or Easter Holidays - 16th & 23rd April 2025

Yes

No

No classes during Fasnacht Holidays 5th & 12th March or Easter Holidays - 16th & 23rd April 2025

Please select 1 option per child

Child collection arrangementsrequiredIf the pick up arrangements need to be changed please notify the office at office@ela-basel.ch

I will pick up my child at 15:30

I will pick up my child at 16:30 (if you have chosen for your child to attend a club finishing at 16:30)

I will pick up my child at 18:00 (if you have chosen for your child to attend an afterschool offer ending at 18:00)

My child can leave the premises alone at 15:30

My child can leave the premises alone at 16:30 ((if you have chosen for your child to attend a club finishing at 16:30)

My child can leave the premises alone at 18:00 (if you have chosen for your child to attend an afterschool offer ending at 18:00)

If the pick up arrangements need to be changed please notify the office at office@ela-basel.ch

Photo usage permissionrequired

Images may be included on our website, prospectus, advertising, or social media.

Terms and conditionsrequired

I declare to have read and to agree to the Terms and Conditions