BEE Registration Form
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Name of adult/parent 1 *
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This person will be the principal contact for BEE.
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Adult 1 Date of Birth
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Email of adult 1 *
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Name of adult/parent 2
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Adult 2 Date of Birth
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YYYY
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Email of adult 2
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Which email address should BEE use for correspondance?
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Adult 1
Adult 2
Both
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Phone 1 *
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Please give telephone contact numbers in order of preference. You can include home, mobile and work numbers.
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Phone 2
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Phone 3
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Phone 4
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Postal address
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Please give your principal address to which BEE should address correspondance. Please include postal code.
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Name of Child 1
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Child 1 Date of Birth *
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DD
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YYYY
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Name of Child 2
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Child 2 Date of Birth
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DD
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YYYY
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Name of Child 3
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Child 3 Date of Birth
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DD
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YYYY
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Name of Child 4
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Child 4 Date of Birth
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DD
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YYYY
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What school(s) or collège do your children attend?
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If this in international school, please give details.
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Do you or your children have any medical issues, medication, allergies, condition affecting education such as dyslexia or hearing loss, which
we need to be aware of?
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Please give as much information as you can.
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Class registration
Please choose the classes you would like to register each family member for. If you cannot find the option you are looking for, please include it in the 'Any
Comments' box.
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Adult 1 is registering for...
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Intermediate French, Wed 13:00-14:00, 6€
Basic
French, Wed 14:00-15:00, 6€
Basic English, Wed 15:00-16:00, 6€
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Adult 2 is registering for...
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Intermediate French, Wed 13:00-14:00, 6€
Basic
French, Wed 14:00-15:00, 6€
Basic English, Wed 15:00-16:00, 6€
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Child 1 is registering for...
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English literacy ages 4-11 (Wed 9:45-12:00), 14€
English literacy 11+, pre iGCSE and iGCSE (Wed 14:15-16:30), 14€
English for Francophone children aged 8-10 years (Wed 9:45-10.45), 6.00€
English for Francophone children aged 6-8 years (Wed 10:45-11.45), 6.00€
Learning English/French through music, 3-6 years (Wed 10:00-10:45), 5€
Learning English/French through music, 8+ years, (Wed 10:45-11.30), 5€
Junior Choir ages 6-11, (Wed 12:15-12:45), 3€
Buzz Music ages 3-5,( Wed 12:45-13:15), 3€
Buzz Recorder Group ages 5+, Wed 13:15-13:45, 3€
Storytime 0-4 years for French and English speaking children, Wed 9:45-10:45, free
Drama Club 7-11 years, (Wed 13:00-14:00), 6€
Beginner Spanish 7-11 years, (Wed 14:15-15:00), 6€
Beginner Spanish 11+ years, (Wed 13:00-14:00), 6€
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Child 2 is registering for...
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English literacy ages 4-11 (Wed 9:45-12:00), 14€
English literacy 11+, pre iGCSE and iGCSE (Wed 14:15-16:30), 14€
English for Francophone children aged 8-10 years (Wed 9:45-10.45), 6.00€
English for Francophone children aged 6-8 years (Wed 10:45-11.45), 6.00€
Learning English/French through music, 3-6 years (Wed 10:00-10:45), 5€
Learning English/French through music, 8+ years, (Wed 10:45-11.30), 5€
Junior Choir ages 6-11, (Wed 12:15-12:45), 3€
Buzz Music ages 3-5,( Wed 12:45-13:15), 3€
Buzz Recorder Group ages 5+, Wed 13:15-13:45, 3€
Storytime 0-4 years for French and English speaking children, Wed 9:45-10:45, free
Drama Club 7-11 years, (Wed 13:00-14:00), 6€
Beginner Spanish 7-11 years, (Wed 14:15-15:00), 6€
Beginner Spanish 11+ years, (Wed 13:00-14:00), 6€
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Child 3 is registering for...
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English literacy ages 4-11 (Wed 9:45-12:00), 14€
English literacy 11+, pre iGCSE and iGCSE (Wed 14:15-16:30), 14€
English for Francophone children aged 8-10 years (Wed 9:45-10.45), 6.00€
English for Francophone children aged 6-8 years (Wed 10:45-11.45), 6.00€
Learning English/French through music, 3-6 years (Wed 10:00-10:45), 5€
Learning English/French through music, 8+ years, (Wed 10:45-11.30), 5€
Junior Choir ages 6-11, (Wed 12:15-12:45), 3€
Buzz Music ages 3-5,( Wed 12:45-13:15), 3€
Buzz Recorder Group ages 5+, Wed 13:15-13:45, 3€
Storytime 0-4 years for French and English speaking children, Wed 9:45-10:45, free
Drama Club 7-11 years, (Wed 13:00-14:00), 6€
Beginner Spanish 7-11 years, (Wed 14:15-15:00), 6€
Beginner Spanish 11+ years, (Wed 13:00-14:00), 6€
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Child 4 is registering for...
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English literacy ages 4-11 (Wed 9:45-12:00), 14€
English literacy 11+, pre iGCSE and iGCSE (Wed 14:15-16:30), 14€
English for Francophone children aged 8-10 years (Wed 9:45-10.45), 6.00€
English for Francophone children aged 6-8 years (Wed 10:45-11.45), 6.00€
Learning English/French through music, 3-6 years (Wed 10:00-10:45), 5€
Learning English/French through music, 8+ years, (Wed 10:45-11.30), 5€
Junior Choir ages 6-11, (Wed 12:15-12:45), 3€
Buzz Music ages 3-5,( Wed 12:45-13:15), 3€
Buzz Recorder Group ages 5+, Wed 13:15-13:45, 3€
Storytime 0-4 years for French and English speaking children, Wed 9:45-10:45, free
Drama Club 7-11 years, (Wed 13:00-14:00), 6€
Beginner Spanish 7-11 years, (Wed 14:15-15:00), 6€
Beginner Spanish 11+ years, (Wed 13:00-14:00), 6€
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Date you would like to start classes
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Any comments including any planned absences:
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General information about your children
Here you have the opportunity to give a little more detail about your children and their background and interests.
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What year did your family arrive in France?
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What are your children's English language level (schooling, reading/writing ability, any other remarks)
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What are your children's hobbies or interests?
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Are you interested in any of the following lessons for you or any of your children?
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Violin
Flute
Clarinet
Saxophone
Piano
Singing
Music theory
Orchestra/band
Choral
singing
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Please detail:
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Any other comments or information
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Emergency Contact Details
Please give details of emergency contacts in order of preference. Please note the parents (adults 1 and 2 above) will be contacted first unless you indicate
otherwise.
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Name of emergency contact 1
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Phone Number(s)
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Relationship to the child
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Name of emergency contact 2
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Phone Number(s)
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Relationship to the child
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Name of emergency contact 3
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Phone Number(s)
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Relationship to the child
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Any other information about the emergency contacts or order of preference
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Image permissions
Give your preferences here.
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I am happy for photographs where my child is recognisable to be...
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Posted on the BEE website
Included in the BEE email newsletter
Printed on the BEE printed newsletter
Included in press releases to newspapers
Used in advertising material such as posters
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BEE can tag me in photos of myself or my child on Facebook
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Yes
No
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Committee
BEE is a non-profit organisation which is run by unpaid volunteers. Would you like to help?
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I would like to help BEE by...
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Helping with finances, accounting, invoicing
Website and
computing
PR and
marketing planning
Graphic
design
Distributing
leaflets
Organising
events
Baking cakes
Donating books
or toys
Running the
library
Teaching or helping in the classroom
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Please give details:
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Privacy statement
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Terms and Conditions
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I have read and accept the Terms and Conditions document for BEE registration 2011-12.
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Email confirmation
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I understand that my email address will be used only by the association Bilingual Education Exchange and will
not be disclosed to any third parties.
By submitting this form you agree to your email address being put on the BEE-members information mailing list, which is managed by the BEE committee and hosted
by Yahoo Groups.
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Image Verification
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