Registration Form Playa del Carmen

PERSONAL INFORMATION:

First Name:
 

Last Name:
 

Address:
 

City:
 

State:
 

Country:
 

Zip Code:
 

Date of birth:
 

Sex:
 Male Female

Nationality:
 

Telephone:
 

Email:
 

College, University or School Attending /ed:

Occupation:

Have you studied Spanish?:
 Yes No

Other languages?:
 

Probable Spanish level:
 Beginning Intermediate Advanced

Reasons for learning Spanish?:

How did you hear about us?:
 Friend Searching on the Web Agency Other

TYPE OF PROGRAM:

* Type of Program you wish to enroll in:

— Regular Spanish Courses 15 hrs/w Regular Spanish Courses 25 hrs/w Spanish Individual Program Spanish Executive Program Spanish Professional Programs 25 hours/w Kid’s Programs Educators of Spanish as a Second Language 25 hours/w Oaxaca seasonal Spanish Cultural volunteer Program Spanish & Activities in Playa del Carmen

Comments
 

Planned Date of enrollment: (Starts on Monday)
 

All prices are subject to change without prior notice.

TYPE OF ACCOMMODATION:

Number of weeks:

Type of Housing Plan you wish to enroll in:

(We suggest that students arrive a few days before beginning classes on Monday so they can meet with families).

* Planned date to begin housing accommodation:
Start day:
 

End day:
 

Restrictions or allergies to food or animals:

Bothered by cigarrette smoke?:

Interests and hobbies:

TRANSPORTATION (only Playa del Carmen).

Do you need transportation from and/or to Cancun?:
 Yes No

EMERGENCY INFORMATION

In case of emergency, contact:

Name:
 

Address:
 

Telephone:
 

FLIGHT INFORMATION

Airline:
 

Flight No:
 

Date of arrival:
 

Time of arrival:
 

City of departure: