Application Form: 29th March to 5th April: CHF 3,000.-

Student Details

Family Name (Required)

First Name (Required)

Gender (Required)

Boy
Girl

Date of Birth (Required)

-- 1995 1996 1997 1998 1999 2000 2001 2002 / -- January February March April May June July August September October November December / -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Religion (Required)

Nationality (Required)

MAILING ADDRESS, street, post-code/zip, country (Required)

Parent's/Guardian's Details

Family Name (Required)

First Name (Required)

Relationship to Student (Required)

Parent's E-MAIL (mandatory) (Required)

Tel (Home) (Required)

Tel (Work)

Tel (Mobile) (Required)

FAX

ADDRESS during Easter School (Required)

Parents' Marital Status (Required)

Married Separated Divorced Re-married Other

Ski and Snowboard

Do you wish to (Required)

Ski
Snowboard

Ski level : (Required)

I have opted to snowboard
Level 1: you are a beginner
Level 2: you can do snowplough turns and take the easy ski lifts alone
Level 3: you can traverse and side-slip, and you are able to snowplough turn down a red run
Level 4: you can ski down a red run using linked parallel turns
Level 5: you can ski comfortably and neatly on any piste. You need to improve your short turns, mogul skiing and you technique on unprepared terrain.
Level 6: you are competent in moguls, steep and powder. You are confident on all pistes and would like to enjoy more challenging terrain and tricks.

Snowboard Level : (Required)

I have opted to ski
Level 1: you are a beginner
Level 2: you are able to make a basic change of direction on blue runs and are able to take the easy ski lifts alone.
Level 3: you can steer your turns on red runs, you do simple tricks and are able to travel ''fakie''.
Level 4: you make carved turns on red runs and are able to do short turns and 180's.
Level 5: you can board comfortably on any gradient and are comfortable with basic tricks in Park and Pipe.
Level 6: you are a competent snowboarder but wish to improve your freestyle, boardercross, freeride and mogul techniques.

Racing

Number of years learned ski/snowboard ? (Required)

Do you belong to a ski/snowboard Club and have experience of racing (Slalom and Giant Slalom)? (Required)

YES
NO

If yes, for how many years ?

Equipment

Are you bringing your own equipment (ski/snowboard, helmet, boots, poles) ? (Required)

Please note that it is Aiglon College policy that all students participating in snowsports MUST wear a helmet.

YES
NO

If you are not bringing your own equipment, it can be hired for CHF 140.- (ski/snowboard), CHF 70.- (boots - ski or snowboard) and CHF 40.- (helmet) directly at Aiglon. Please indicate below what you would like to hire:

Skis & Poles

Snowboard

Ski Boots

Snowboard Boots

Helmet

Your child's height (m,cm):

Your child's weight (kg) :

Your child's foot size (european size) :

Your child's head size (cm):

Course

Language to be studied : (Required)

French
English
German
Spanish

Level (Required)

Beginner
Intermediate (only available for French or English)
Advanced (only available for French or English

If your child came to our Summer School in 2010, please indicate the language level attained during that programme below :

Number of years studied this language :

First language (mother tongue) : (Required)

Do you intend to apply to an International School in the near future ? (Required)

YES
NO

Are you preparing for an external/public examination this Summer ? (Required)

YES
NO

If you have answered ''yes'' to either of the above questions, please provide details :

Other Information

I heard about Aiglon College Easter School from : (Required)

I would like to receive the main Aiglon College prospectus :

YES
NO

Has the student ever been expelled or suspended from any school ? (Required)

YES
NO

Please state the full name and year of graduation if you or any of your family are Aiglon Alumni.

Medical Form

Is your son/daughter in good health? (Required)

YES
NO

Has your son/daugther been vaccinated against measles? (Required)

(If no, we recommend that your child is vaccinated prior to attending the Easter School)

YES
NO

Is he/she up to date with their tetanus vaccinations? (Required)

YES
NO

If so, what was the date of their last tetanus vaccination?

-- 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 / -- January February March April May June July August September October November December / -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Has he/she been exposed to a contagious disease recently? (Required)

YES
NO

If so, which disease and when?

Is he/she allergic to anything? (Required)

(e.g. penicillin, antibiotics, aspirin, bee/wasp stings, strawberries, shell fish, etc.)?

YES
NO

If so, which one(s)?

Does he/she suffer from asthma? (Required)

YES
NO

Does he/she suffer from hay fever? (Required)

YES
NO

Does he/she receive any medication? (Required)

YES
NO

Which medication?

For the treatment of:

Does he/she require any special diet? (Required)

YES
NO

If so, which foods should be avoided?

Can your child swim? (Required)

YES
NO

Can your child ride a bike? (Required)

YES
NO

What is your child's weight (in kilos)? (Required)

In the event that your child needs medical treatment and is prescribed drugs, it is useful for us to know your child's weight.

IMPORTANT !

Is there anything else we should know about your child's health or learning aptitude so that he/she can benefit fully from his/her stay at the Aiglon College Easter School programme ?

Declaration

I agree (Required)

I agree that the information given above is correct. I understand that the discovery of false or incomplete information may jeopardize my child's right to a place on the course. I have read and understood the 'General Information' and 'Conditions of acceptance' (including the cancellation policy) as set out in this website and I agree to the terms therein. In the event of accident or emergency, I authorise the Director to take such action as may seem necessary at the time in question.

Date of approval (Required)

-- 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 / -- January February March April May June July August September October November December / -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Validation

Validation (Required)