Registration Form Mid-IB Writing Focus Student Name Student Email Address Student Phone Number Country and City you currently live in School you are presently enrolled in Your chosen period (you may come several times and continue working on the same assignment, or a different one): Your chosen period (you may come several times and continue working on the same assignment, or a different one): Jun 30th-Jul3rd Jul 7th-10th Jul 14th-17th Jul21st-24th Jul 28th-31st Aug 4th-7th Aug 11th-14th Aug 18th-2st The written assignment you wish to work on: The written assignment you wish to work on: Extended Essay Internal Assesment If you are working on EE or IA, please specify the IB Subject Do you suffer from any disability, illness or allergy? Do you suffer from any disability, illness or allergy? YES NO Do you have any dietary requirements? Do you have any dietary requirements? YES NO If yes, please give us the relevant details Parent / Guardian Name Parent / Guardian email Parent / Guardian Phone Number How did you hear about this course? How did you hear about this course? Friend Websearch Instagram Facebook School Other 5 + 3 = Submit registration