Jerez Culture Trip Registration – Language Immersion Bedford

Please fill in this form to register for the Language Immersion Cultural Trip to Jerez de la Frontera and the surrounding area.
This trip will take place from 26^th-31^thOctober 2023.

Travel Arrangement

I will make my own way to Gibraltar

I will join the group flight booking

Personal Details

Name

Address

Mobile Number

Room Preference

Room type

If double, name of person shared with

Emergency Contact Details
In case of problems, please give the details of two contacts in the UK.

First Contact Name

First Contact Number

First Contact – relation to student

Second Contact Name

Second Contact Number

Second Contact – relation to student

Documentation
If you have it available, please give the information below.
Closer to the time of the trip we will ask for scans of the documents.

Please give your travel insurance provider and policy number

Please give your passport number

Health Concerns

Do you have any health or allergy issues? Please list these below

Please give any other information which you feel the organiser needs to know