Learning English & other foreign languages

Student Registration

Thank you for your interest, could you please fill in the form below to complete your registration.

KEY:
* = Required Answers
Failure to fill in these details will result in an error message on the submission of this form & the loss of your data. We suggest you answer these questions (1-13 & 38-39) & submit the form, then log in to your account & complete the rest of the submission via your account panel.

Data in red is not given out AT ALL by Xilfee, it is used to check the validity of the submission.
Data in blue will become available to other Premium Members, ONCE you become a Premium Member.

* Required Field

Text help for this form:

Your contact details

01. * First Name:
02. * Last Name:
03. * Your date of birth (yyyy-mm-dd):
04. * Username:
05. * Password:
06. * Confirm Password:

07. * Address:


08. * County / State:
09. * Postcode / Zip:
10. Country:
11. * Telephone:
12. * Mobile:
13. * E-Mail:

*14. What are you interested in:**
One to One host / tutor :
Online tutor :
Cultural visit (no tuition whilst with family) :
Other students interested in an exchange :

About you:
15. Nationality:
16. Native Tongue:
17. What sex are you?	Male Female
18. Which age range are you?
19. Do you smoke?	Yes No
20. Are you a vegetarian?	Yes No
21. Do you have any special needs?	Yes No
22. Please input any allergies you suffer from:
23. Do you have any brothers or sisters?	Brother(s) Sister(s) Both No

24. Which pets do you have?	: None : Dog(s) : Cat(s) : Horse(s) : Other house pet(s) : Bird(s) : Other outdoor pet(s)

25. Write a brief description of your family, its interests & hobbies:

Your course requirements

NOTE: If you only want to stay with a host and not receive any tuition, become a penpal or have online tuition please select the not applicable or no options where applicable.

26. What language are you learning?:
27. Tuition hours wanted per day:
28. How would you rate your language skills:

29. How long would you want to stay?
30. Date you want to start your visit (yyyy-mm-dd):
31. Date you wish to finish your visit (yyyy-mm-dd):

32. What sex do you want the tutor to be?	Male Female Either
33. Would you like your host to have experience of any of the following?
34. Would you stay with a host who smokes?	Yes No
35. Do you want your own bedroom?	Yes No Doesn't matter

36. What are you looking for in your host / tutor:

37. Why would you be an ideal student and/or guest?

38. * Data Protection

I give my permission for my details to appear on Xilfee.eu website.

The Data Protection Act 1998 regulates the processing of personal information, setting rules for the processing of data and increasing the individuals' rights to control how information about them is used. Within the confines of this act we require your consent to hold your personal details within our systems.

By completing this registration you are giving your permission to the following: -
1. We can disclose your contact details to other users of Xilfee.eu
2. We can analyse and assess your details to ensure that unwanted applications (those made in fun, by agencies or by people smugglers etc.) are kept off the system, thus maintaining the highest quality service possible.

You have the right to withdraw this consent at any time, if you choose to do this we will remove your details from our system completely due to the nature of our offer/product & the internet. This can be done via a simple e-mail, telephone call, or written request delivered to our offices.Unfortunately no refund can be offered.

39. * Terms & Conditions

I have read & agreed to the terms & conditions as laid out on the xilfee.eu website.

Note: If you do not agree to our Terms & Conditions we will be unable to register your details on our site.

40. E-Mail Updates

By registering with Xilfee you agree to receiving any updates from Xilfee via e-mail newsletter. If you subsequently withdraw this consent, we have no means to keep you updated & will withdraw your profile.

* Required Field

Language