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Booking Form

This booking form should be completed by the student, or in the case of children by a parent or guardian.

To make a booking:

1. Print this page (please check you can see the 'purchase agreement' at the bottom before printing).

2. Fill in the details.

3. Post with your payment to the address above, or fax to us on 01865 516517.
Your Details
Name: ................................... Title (Mr,Mrs,etc.): ...................................
Home Address:

...............................................................................................................
Postcode: ...................................
Tel (Home):
 ................................... Student Details (complete if student is a child):
Tel (Work): ................................... Name: ...................................
Tel (Mob): ................................... Title (Mr,Miss,etc.): ...................................
Date of Birth: ................................... Date of Birth: ...................................
E-mail: ................................... E-mail: ...................................
 
Dutch Level (to be completed by the student)
What is your current level in Dutch?
 
What level would you like to achieve?
 
What is your motivation for learning Dutch?
 
What is your first language?
 

What other languages have your learned? And to what level?

 
 

Do you have any learning difficulties or other disabilities that may affect your learning Dutch (Dyslexia, Deafness, etc)?

 

 

 
Prices        
  Price Postage Total How many?
Distance Learning Dutch Courses        
• Beginners (25 lessons) £242 £17 £259
• Elementary (25 lessons) £269 £17 £286
• GCSE 2010-2011 (20 lessons) £282 £18

£300
• International GCSE Foreign Language 2010-2011 (20 lessons) £282 £18 300
• AS-Level 2010-2011 (20 lessons) £376 £18 £394
• A2-Level 2010-2011 (20 lessons) - If you have already completed our AS-Level Dutch distance learning course £336 £18 £354
• A2-Level 2010-2011 (20 lessons) £376 £18 £394
• A-Level 2010-2011 (20 lessons) £381 £18 £399
• 3 months extended support £34 £0 £34
• 6 months extended support £54 £0 £54
• 12 months extended support £84 £0 £84
         
Part-Time Evening Dutch Classes (in Oxford)        
• Beginners 1 - Autumn 2010 (10 hours) - Monday - 6.45pm £100 £0 £100
• Beginners 2 - Autumn 2010 (10 hours) - Thursday - 6.45pm £100 £0 £100
• Beginners 3 - Autumn 2010 (10 hours) - Tuesday - 6.45pm £100 £0 £100
• Elementary 0 - Autumn 2010 (10 hours) - Wednesday - 6.45pm £100 £0 £100
• GCSE - 2010-2011 for children (30 hours) - Thursday - 3.30pm £266 £0 £266
• GCSE - 2010-2011 for adults (30 hours) - Tuesday - 8pm £332 £0 £332
• AS-Level - 2010-2011 for adults (30 hours) - Monday - 8pm £332 £0 £332
• A2-Level - 2010-2011 for children (32 hours) - Monday - 4.30pm £304 £0 £304
• A2-Level - 2010-2011 for adults (32 hours) - Wednesday - 8pm £352 £0 £352
         
Examinations        
• GCSE Dutch 2011 - all papers (with speaking on 7/05/2011) £119 £0 £119
• GCSE Dutch 2011 - all papers (with speaking on 7/05/2011) - late entry (after 15/02/2011) £146 £0 £146
• GCSE Dutch 2011 - Speaking exam in Oxford on 7/05/2011 - on behalf of another school £65 £0 £65
• GCSE Dutch 2011 - Speaking exam in Oxford on mutually convenient date - on behalf of another school £94 £0 £94

• AS-Level Dutch 2011 - AS paper only

£83 £0 £83
• AS-Level Dutch 2011 - AS paper only - late entry (after 15/03/2011) £111 £0 £111
• A2-Level Dutch 2011 - A2 paper only £83 £0 £83
• A2-Level Dutch 2011 - A2 paper only - late entry (after 15/03/2011) £111 £0 £111
• A-Level Dutch 2011 - both AS and A2 papers
 £144 £0 £144
• A-Level Dutch 2011 - both AS & A2 papers - late entry (after 15/03/2011) £172 £0 £172
• CNaVT 2011 - PTIT - all papers on one day £134 £0

£134
• CNaVT 2011 - PTPB - all papers on one day £126 £0

£126
• CNaVT 2011 - PMT - all papers on one day £147 £0 £147
• CNaVT 2011 - PPT - all papers on one day £152 £0 £152
• CNaVT 2011 - PTHO - all papers on one day £151 £0 £151
• CNaVT 2011 - PAT - all papers on one day £157 £0 £157
         
Mock Examinations        
All mock exam prices include papers, marking, a brief assessment of your results, and example answers.
• GCSE Dutch - all papers (on 29/01/2011) £94 £0 £94
• GCSE Dutch - all papers (at home) £107 £0 £107
• GCSE Dutch - speaking paper (on 29/01/2011) £40 £0 £40
• GCSE Dutch - speaking paper (on a mutually convenient day and time) £65 £0 £65
• GCSE Dutch - speaking paper (at home) £45 £0 £45
• GCSE Dutch - listening paper (at home) £33 £0 £33
• GCSE Dutch - reading paper (at home) £30 £0 £30
• GCSE Dutch - writing paper (at home) £34 £0 £34
• AS-Level Dutch (on 29/01/2011) £49 £0 £49
• AS-Level Dutch (on 12/03/2011) £49 £0 £49
• A2-Level Dutch (on 29/01/2011) £49 £0 £49
• A2-Level Dutch (on 12/03/2011) £49 £0

£49
• AS-Level Dutch (on 29/01/2011) and A2-Level Dutch (on 12/03/2011) £88 £0 £88
• AS-Level Dutch (at home) £46 £0 £46
• A2-Level Dutch (at home) £46 £0 £46
• Past exam paper: ......................................................................................... £3.70 £0.70 £4.40
         
Private Tuition        
Number of students
in group		 Price per hour per student
1 to 9 hours 10 to 19 hours (5% discount) 20+ hours (10% discount)
1 student £29 £27.55

£26.10
2 students £16 £15.20 £14.40
3 students £11.67 £11.08 £10.49
4 students £9.50 £9.02 £8.55
5 students £8.20 £7.79 £7.38
6 students £7.33 £6.96 £6.59
7 students £6.71 £6.37 £6.04
Number of students
in group		 Number of hours Price per hour
per student		 Total price
per student		 Total price
for all students
 
 
£
£
£

Once you have arranged lesson dates and times with your teacher, they may only be rescheduled with at least 24 hours notice. If you do not turn up or cancel with less than 24 hours notice then the lesson will not be rescheduled. Payment for private tuition must be made at or before the first lesson.
Purchase Agreement


I enclose a cheque/will transfer funds to your bank
account/will contact you to arrange payment* for a
total amount of £ …….....…

I agree not to reproduce or transmit in any form or by any
means any part of course material I receive without the prior
written permission of the Dutch Language School.


Signature: ………………………………………………… Date: ………………………

* Delete as appropriate


Please make cheques payable to: Dutch Language School

Please contact us for further details if paying by bank transfer.

Postage rates on this form are only applicable for the UK.

Please contact us for postage rates to other destinations.
Please note that if you are applying to join one of our courses then we will ask you to complete our online Dutch test, write a short passage in Dutch, and speak to a Dutch teacher, before starting the course. This will not be required if you are a complete beginner and are applying to join our distance learning Beginners Dutch course or our part-time Beginners 1 Dutch evening class.

Copyright 2010 Dutch Language School. All rights reserved.