Nelson English Centre Enrolment Contract

Name

First Name

Last Name

Name you would like to be called

If different from above

Passport Number

Type of Visa

Email Address

Nelson Address

You can put in your Homestay Family's name or Hostel's Name if you don't know your address yet :)

Cell Phone Number

Emergency Contact Number in your home country

Please enter the contact number of someone in your home country, maybe your friend or parents...

Today I think my English level is...

Declaration

I hereby tick that I have received sufficient information upon coming to Nelson English Centre. I will notify Nelson English Centre if any of my credentials provided on this form change. I have read and agree to abide by Nelson English Centre's enrolment conditions and rules as set out in the A to Z. I also agree to the NZQA FORM OF STUDENT ACKNOWLEDGMENT.

I Agree

Media Declaration

I am aware that any media taken of myself during school classes or activities may be used for promotional purposes and I'm happy to accept this

Nelson English Centre Enrolment Contract

Study English where kiwis love to live