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Apply Now - Enrolment Form

Fill out and submit our online enrolment form below or print out and fax (+64 3 442 6676 ) to the Queenstown Language School .

Enrolment Form

Fill out and click send, or print-out and fax to +64 3 442-6676

* indicates a compulsory field that must be filled in

Personal Details

Given Name(s): *
Family Name(s): *
Email: *
Address: *
Town/City & State: *
Country: *
Phone Number: *
Date of Birth: *
Sex: *	Male Female
Nationality: *
Job:
Passport Number: *
Emergency Contact (name, phone number and/or address): *

Course Information

Which school do you wish to study at?

Course required:

For other courses not listed, please state:

Preferred Start Date: *
Preferred Finish Date: *

What is your English Level?

Accomodation, Interests & Health

Do you require accommodation?

Do you smoke?
Yes No

Would you like to stay with a family with pets?
Yes No Don't mind

Would you like to stay with a family with children?
Yes No Don't mind

Do you have any health problems? Yes No
Please enter the details of any health problems you may have

What are your interests?

Airport pickup required? Yes No
(free with homestay booking)
Arrival Flight details - Flight number, date, time

Other comments, questions or requirements

Declaration I have read, understand and agree to the Conditions of Enrolment.

(if student is under 18) please provide guardian details

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Our students say...

My name is Ji-Eun Lee from Korea. I am very sad to leave Language Schools New Zealand and Queenstown, the paradise. I did many activities, such as horse riding, canyoning, canoeing, mountain...
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