|
Last
Name: |
|
|
Address: |
|
|
Address
2: |
|
|
City: |
|
|
State: |
|
|
Country: |
|
|
Zip
Code: |
|
|
Date
of Birth: |
|
|
Age:
|
|
|
Gender: |
|
|
Nationality: |
|
|
Telephone: |
|
|
E-Mail: |
|
|
College,
University or School Attending /ed: |
|
|
Occupation: |
|
|
Have
you studied Spanish?: |
|
|
Other
languages?: |
|
|
Campus
you want to attend: |
|
|
Probable
Spanish level: |
|
|
Reasons
for learning Spanish?: |
|
|
TYPE
OF PROGRAM: |
|
Type
of Program you wish to enroll in: |
|
|
Planned
Date of enrollment: (Starts on Monday) |
|
|
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: |
|
|
Restrictions
or allergies to food or animals: |
|
|
Bothered by cigarrette smoke?:
|
|
|
Interests
and hobbies: |
|
|
FLIGHT
INFORMATION |
|
Airline: |
|
|
Flight
No: |
|
|
Date
of arrival: |
|
|
Time
of arrival: |
|
|
City
of departure: |
|
|
TRANSPORTATION
(Available only for Campus Playa del Carmen).
|
|
Do
you need transportation from and/or to Cancun?: |
|
|
EMERGENCY
INFORMATION |
|
In
case of emergency, contact: |
|
Name: |
|
|
Address:
|
|
|
Telephone: |
|
|
CONTACT
US. If you don’t receive a confirmation in the
next 5 days, please send us an e-mail or call to
confirm your reservation. A minimum deposit of 20% on
all expenses is required prior your arrival.
I
have read
"terms and conditions." |
|
|