BROOKLYN SCHOOL OF LANGUAGES, LLC

JUNIOR ENROLLMENT FORM 2021

SCHOOL GENERAL INFORMATION

Brooklyn School of Languages
E-mail:	info@brooklynschooloflanguages.com
Phone:	+1 646 341 1219
Website:	www.brooklynschooloflanguages.com
Facebook:	https://www.facebook.com/brooklynschooloflanguages/
Instagram:	www.instagram.com/brooklynschooloflanguages
Key Personnel:
Richard Ambler School Director rich@brooklynschooloflanguages.com	Stephanie Bon Sales and Marketing Manager stephanie@brooklynschooloflanguages.com

STUDENT DETAILS

First Name:	Date of Birth: (mm/dd/yyyy)
Last Name:	Nationality:
Gender:	Male Female Other	Native Language:
Home Address:
Home Phone:	Cell Phone:
E-mail:

Do you have any special learning needs? Yes (please explain below) No

(e.g. dyslexia, dysgraphia, non-verbal learning disabilities…)

EMERGENCY CONTACT

First Name:	Relationship:
Last Name:	Phone:
E-mail:

PROGRAM DETAILS

Type of Program:
Level in English:
Start Date (mm/dd/yyyy):
End Date (mm/dd/yyyy): (last day August 7, 2021)
Number of Weeks:

ARRIVAL DETAILS

Airline:	Date of Arrival: (mm/dd/yyyy)
Flight Number:	Time of Arrival:
Airport of Arrival:
Airport Transfer needed upon arrival?
No Yes:	JFK, unescorted - $160 Newark, unescorted - $180
JFK, escorted - $210 Newark, escorted - $235
JFK, unaccompanied minor - $270 Newark, unaccompanied minor - $295

DEPARTURE DETAILS

Airline:	Date of Departure: (mm/dd/yyyy)
Flight Number:	Time of Departure:
Airport of Departure:
Airport Transfer needed upon departure?
No Yes:	JFK, unescorted - $160 Newark, unescorted - $180
JFK, escorted - $210 Newark, escorted - $235
JFK, unaccompanied minor - $270 Newark, unaccompanied minor - $295

HOMESTAY OPTION (IF APPLICABLE)

Housing Start Date: (mm/dd/yyyy)	Housing End Date: (mm/dd/yyyy)
*Standard housing dates start on the Sunday before your course starts and end on the Saturday after your course ends. Up to one extra night at the beginning and/or end of your stay can be booked at an additional cost.
Personal Preferences:
Family with pets:	No Yes No preference
Food Allergies:
Personal Interests/ Additional Information:

ADDRESS WHILE IN NEW YORK (IF APPLICABLE)

Address while in New York:
*If housing is not booked through the school

HOW DID YOU HEAR ABOUT US?

Internet/FB/IG	Friend - Who?	Agency – Which one?
Other - Please explain:

YOUR LANGUAGE LEARNING GOALS

Check all that apply:	Personal	Academic	Other -
What do you hope to achieve from this program?

PAYMENT DETAILS

Payment Method Payments can be made using the following methods:
Bank Wire Transfer
Brooklyn School of Languages, Account No. 660-902-281, with HSBC Bank USA, 452 Fifth Avenue, New York, NY 10018, USA, SWIFT Code MRMDUS33, Routing # 021001088 *All banking fees (inbound and outbound) must be paid by the student PayPal payment to rich@brooklynschooloflanguages.com *All PayPal fees (inbound and outbound) must be paid by the student
Credit Card:
Name on Card:	Type of Card:
Card Number:
Expiration Date:	Security Code:
Billing Address:
I hereby authorize Brooklyn School of Languages to charge my credit card in the amount of: $
Signature of Cardholder:	Date:

HEALTH INSURANCE

Brooklyn School of Languages does not require its students to obtain health insurance. However, it is highly recommended that all students have and maintain health insurance during their time in New York City. It is important for students to be aware of the risks and possible consequences for the failure to maintain health insurance. Please speak with a BSL staff member for more information about health insurance.

Recommended Health Insurance Provider:

BSL highly recommends booking health insurance via International Student Insurance and choosing The Atlas Travel Plan.

YOUR AGREEMENT

The above listed school and student enter into agreement under which the student will pay tuition and fees as indicated on the school’s website https://brooklynschooloflanguages.com/2021-dates-and-prices/ as well as adhere to the school’s rules and regulations as set forth in the BSL student handbook. The agent who enrolled me was: Name: Rich Ambler Certificate #: 1125 By my signature, I agree to the conditions of this agreement. I also verify that I have read and received a copy of the agreement.

Signature of Student or Parent/Guardian (if under 18 years of age)	Date

TERMS AND CONDITIONS

All registrations are subject to the following conditions which become legally binding once the registration is confirmed by Brooklyn School of Languages.

1. Registration and booking

1.1. For Standard, Combined, Part-Time Evening, 1-to-1, and Junior Program Courses

All bookings submitted to Brooklyn School of Languages (BSL) are only accepted on receipt of written confirmation from BSL or its authorized representative. A $300 deposit per student is payable at the time of booking (individual or group bookings) for course only bookings, and $600 for course + accommodation bookings. Payment in full must be received a minimum of 28 days before the course start date, or immediately in the event of late booking (bookings made within 28 days of the start date). All payments must be in U.S. dollars.

1.2 For Intensive Course:

All bookings submitted to Brooklyn School of Languages (BSL) are only accepted on receipt of written confirmation from BSL or its authorized representative. A $300 deposit per student is payable at the time of booking for course only bookings, and $600 for course + accommodation bookings. For short-term courses of 1 – 7 weeks in length, payment in full must be received a minimum of 28 days before the course start date, or immediately in the event of late booking (bookings made within 28 days of the start date). For long-term bookings of 8+ weeks in length, payment for the student’s first 8-week session must be received a minimum of 28 days before the course start date, or immediately in the event of a late booking (bookings made within 28 days of the start date). For long-term students (8+ weeks), payment of each continued 8-week session must be received prior to the start of each session as a part of the registration process. All payments must be in U.S. dollars.

2. Cancellations and refunds

All cancellations must be made in writing and will be confirmed in writing by BSL. Cancellations are subject to the following charges:

● For courses – full refund for cancellations made more than 72 hours prior to arrival (i.e. the Friday before the course starts). A $300 administration fee will be charged thereafter.

● For homestay accommodation – full refund for cancellations made more than 7 days before course start date. A $300 administration fee will be charged thereafter.

● For Coliving accommodation – full refund for cancellations made more than 28 days before the course start date. The full amount will be charged thereafter.

● For cancellations, after the course has started, a pro-rated amount of tuition will be refunded.

● $75 express mailing fee is nonrefundable in all circumstances.

Please note: refunds are calculated from the end of the last week the student attended classes at the non-discounted rate. Pro-rated refunds will be calculated on a weekly basis.

3. Visa support

Our adult courses (except the Intensive Course) and our junior summer camp courses can be followed on a tourist visa, or ESTA if applicable. The Intensive Course option (30 lessons, 22.5 clock hours per week) requires an F1 Student Visa, or proof of U.S. citizenship or residency. BSL is an SEVP-certified school and is authorized to issue I-20 forms for prospective F1 students. Where relevant, the school will supply supporting documentation to enable students to secure tourist visas and/or student visas for the U.S. pending eligibility requirements.

4. Alterations By the Student

Any alterations by the student must be confirmed in writing and BSL will respond in writing. BSL recommend students arrange full insurance cover against possible cancellation charges.

5. Reduction in Lessons

In the event that there are insufficient students to form a class, BSL reserves the right to offer the student individual classes as an alternative. The lessons may be reduced as follows:

● Standard course (20 lessons, 15 clock hours): reduced to 15 individual lessons (of 45 minutes in duration)

● Part-Time Evening course (20 lessons, 20 clock hours): For 2 students only, reduced to 4 weeks, eight-hour classes (16 clock hours).

● Evening courses are not available for 1 student only.

● Intensive course (30 lessons, 22.5 clock hours): reduced to 20 individual lessons (of 45 minutes in duration)

6. Lessons lost on bank holidays

Lessons falling on school holidays will not be made up.

7. Level of English

7.1 If a student does not have the minimum level of English required to follow a specific course, as determined by the BSL placement test, BSL reserves the right to move the student to an appropriate course for their level.

7.2 The Summer Junior Program has a minimum level requirement of pre-intermediate – students at beginner or elementary level cannot be guaranteed a class.

8. Airport transfers

Students must submit their flight details (airline name, arrival time, flight number and point of origin) and their contact cell phone number to the school at least 7 days before their departure/arrival. The student’s cell phone is used only for airport transfers in case the driver cannot find the student and has to get in touch with him/her. BSL does not use students’ cell phone number for any other purpose.The school cannot be held liable for any extra charges if the student has not provided his/her contact cell phone number for airport transfers (if the student cannot find the driver and has to make his/her own way to his/her accommodation for example).If a flight is missed or delayed, the student must email the school immediately on info@brooklynschooloflanguages.com to let us know (emails are picked up everyday). The school cannot be held responsible if the airport transfer provider charges the student again for a new transfer.

9. Disciplinary and behavior issues

BSL reserves the right to refuse or exclude any person at any time prior to or during the operational dates of the center if in the opinion of BSL, that person is incompatible with the general well-being and safe running of the center. This includes, but isn’t limited to criminal, abusive or violent behavior, putting themselves or others at risk, use of alcohol by minors, use of illegal drugs, and refusal to follow the rules of the center. In this instance, no refund will be given and any costs incurred, including damages, will be passed on to the student or their parents/guardians, including any repatriation costs.

10. General

11.1 Arrangements and courses outlines in BSL publicity materials are given in good faith. However, courses, activities and timetables may be subject to change for reasons of safety, or in the event of unsuitable weather conditions or other factors, which may arise beyond our control. BSL reserve the right to change the particularities of courses, including changes to course, venues, facilities or dates of programs where circumstances beyond our control necessitate such changes or where the level of bookings received does not reach the minimum number required to operate a course viably. In this event, BSL shall either provide comparable services or refund such part of that service which relates to the change. In either case, BSL’s liabilities shall cease and clients shall have no other or further claim against BSL.

10.2 BSL reserves the right, by giving notice to clients at any time before the start date, to increase the price of the services being provided to reflect any increase in costs to BSL, which is due to factors beyond BSL’s control, such as, without limitations, significant increase in accommodation costs, transport costs, labor costs etc. BSL does not accept liability for personal injury or the death of any student unless caused by the proven negligence of BSL or its servants.

10.3 Provision by BSL of the services outlined in this document and other promotional material, is dependent on receipt of a completed liability disclaimer form, health information sheet and the student’s acceptance of the various rules imposed by BSL.

10.4 Any complaints against any aspect of the services provided by BSL should be addressed in the first instance to the local representative on site. In the event that the matter is not resolved, the client or his agent should make an immediate complaint in writing to BSL’s main office. All complaints will be investigated by the school and may be subject to an appropriate refund provided that the complaint is deemed to be valid, the complaint received within one month of the end of the course and that all fees and costs associated with the booking had been settled in full as laid out in the details above

11. Approval to use image, video & and printed material

BSL may take photographs and/or videos during the stay for promotional purposes. By agreeing to appear in any photographs/videos, the student agrees that BSL may use these images to promote their products and surrenders any right to royalties. To request that a specific image be removed from the public domain because it is felt inappropriate, students must contact BSL in writing.

12. Liability and Force Majeure

BSL does not accept any liability for the loss of damage of any property belonging to students. BSL accepts no responsibility for losses or additional expenses in the event of cancellation (whether whole or part) or change due to acts, omissions, or accidents beyond the reasonable control of BSL, including, without limitations, delays in travel services, obligatory compliance with any government order, rule, direction or regulation, an Act of God, riots and/or civil commotion, war or hostilities, acts of terrorism, invasion, explosion, accident, fire, flood, lightning, storm, illness, widespread disease or infection.