Personal Details

Your Personal Home Address in your country :

Address :

Phone Number :

- Country Code - Area Code Phone Number
Relationship to you :
Does the person speak English?
In case we need to contact them by phone
If you are NOT staying with a host family, please tell us where you are staying while you are at Kingsway :
Do you plan to travel outside the UK during your visit to Kingsway? For example, visiting Paris for the weekend. If so, please see reception for further details.
Date you completed this form :

- Day - Month Year
Date
Should be Empty:

Contact details in case of an Emergency: