Partner Booking Form 2022 Section 1: Partner DetailsName of Your Educational Consultancy / Agency(Required) Your Name(Required) Your First Name Your Family Name Your Email(Required) Section 2: Enrolment InformationLocation(Required)Please SelectCambridge, UKLondon, UKOxford, UKSydney, AustraliaOnlineAge Range(Required)Ages 13-15Ages 16-18Cambridge - Ages 13-15Programme Choice (Cambridge, Ages 13-15)ArchitectureBusiness ManagementComputer ScienceCreative WritingEconomicsEngineeringGeographyInternational RelationsLawMedicineProgramme Dates (Cambridge, Ages 13-15)24 July - 06 August 202207 August - 20 August 2022Cambridge - Ages 16-18Programme Choice (Cambridge, Ages 16-18)ArchitectureBiologyBusiness ManagementChemistryComputer ScienceCreative WritingEconomicsEngineeringEnglish LiteratureFemale Future LeadersGeographyHistoryInternational RelationsLawMathematicsMedicinePhilosophyPhysicsPsychologyRoboticsProgramme Dates (Cambridge, Ages 16-18)03 July - 16 July 202217 July - 30 July 202231 July - 13 August 2022Programme Dates (Cambridge, Ages 16-18)10 July - 23 July 202224 July - 06 August 202207 August - 20 August 2022Programme Dates (Female Future Leaders, Cambridge, Ages 16-18)24 July - 06 August 2022Programme Dates (Cambridge, Ages 16-18)24 July - 06 August 202207 August - 20 August 2022Oxford - Ages 13-15Programme Choice (Oxford, Ages 13-15)Business ManagementComputer ScienceCreative WritingEconomicsEngineeringInternational RelationsLawMedicineProgramme Dates (Oxford, Ages 13-15)03 July - 16 July 202217 July - 30 July 2022Oxford - Ages 16-18Programme Choice (Oxford, Ages 16-18)Artificial IntelligenceBusiness ManagementCreative WritingEngineeringFilm StudiesInternational RelationsLawMedicineSustainabilityProgramme Dates (Oxford, Ages 16-18)03 July - 16 July 202217 July - 30 July 202231 July - 13 August 2022LondonProgramme Choice (London, Ages 16-18)Business ManagementEngineeringLawMedicineProgramme Dates (London, Ages 16-18)03 July - 16 July 202217 July - 30 July 2022Programme Dates (London, Law, Ages 16-18)17 July - 30 July 2022SydneyProgramme Choice (Sydney)Business ManagementCreative WritingEngineeringMedicineProgramme Dates (Sydney)04 January - 14 January 2022OnlineProgramme Choice (Online)Oxbridge Online Research ProgrammeIvy League Online Research ProgrammeArchitecture (Online Insights)Biology (Online Insights)Business Management (Online Insights)Chemistry (Online Insights)Computer Science (Online Insights)Creative Writing (Online Insights)Economics (Online Insights)Engineering (Online Insights)English Literature (Online Insights)Geography (Online Insights)History (Online Insights)International Relations (Online Insights)Law (Online Insights)Mathematics (Online Insights)Medicine (Online Insights)Philosophy (Online Insights)Physics (Online Insights)Psychology (Online Insights)Online Insights Programme Dates11th April - 22nd April: Spring Stream A (two weeks)11th April - 22nd April: Spring Stream B (two weeks)11th April - 15th April: Spring Stream A (one week)11th April - 15th April: Spring Stream B (one week)18th April - 22nd April: Spring Stream A (one week)18th April - 22nd April: Spring Stream B (one week)4th July - 15th July: Summer Stream A (two weeks)4th July - 15th July: Summer Stream B (two weeks)18th July - 29th July: Summer Stream A (two weeks)18th July - 29th July: Summer Stream B (two weeks)1st August - 12th August: Summer Stream A (two weeks)1st August - 12th August: Summer: Stream B (two weeks)As you have selected an online research programme, we will contact your student (with you in copy) for more information about their requested programme (i.e. subject choice, dates, tutorial time, etc) to create a bespoke programme.Section 3: Participant InformationParticipant Name(Required) Participant First Name Participant Family Name Participant Nationality(Required)AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo (Democratic Rep)Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIreland (Republic)IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea, Republic ofKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweDate of Birth(Required) DD slash MM slash YYYY Participant Preferred Pronouns(Required)He/Him/HisShe/Her/HersThey/Them/TheirsParticipant Email(Required)IMPORTANT - this is the email we use to send updates about the programme. If you do not want us to contact the student directly, please enter your own email. Participant Phone Number(Required)Dietary RequirementsDoes The Participant Have Any Medical Conditions?(Required)NoYesMedical Information - Additional NotesDoes The Parent/Guardian Content To The Child Receiving Over-The-Counter Medicine (If Unwell)?Medicines to be distributed if needed: Paracetamol (for pain relief and fever reduction), Ibuprofen (for pain relief and fever reduction), Piriton (to relieve symptoms of mild allergies, such as hay-fever), Strepsils (for sore throat relief), Simple Linctus (for mild coughs), Rennie (for heartburn and indigestion), Olbas Oil (decongestant for colds / congestion).Not SureYesNoOther InformationSection 4: Parent / Guardian DetailsParent Name Parent First Name Parent Family Name Parent EmailIMPORTANT - this is the email we use to send updates about the programme. If you do not want us to contact the family directly, please enter your own email. Parent/Guardian Phone NumberSection 5: Emergency Contact InformationEmergency Contact Name Emergency Contact First Name Emergency Contact Last Name Emergency Contact Email Emergency Contact Phone NumberEmergency Contact Phone (Alternative)ConfirmationPlease Click Here To View Our Terms & ConditionsDo you and your client accept the terms and conditions?(Required) Yes Invoice Email(Required) Which Invoice Would You Like To Receive?Gross Invoice (Full Amount)Net Invoice (Displays Commission)Additional Notes