Registration Form - Playa del Carmen Club de Español Spanish School
Club
de Español in Playa del Carmen, Cancun, Cuernavaca, Puerto VAllarta,
Mexico
Club de Español y Lenguas
Internacionales
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Registration Form
Plase fill out the form completely;
fields marked in red
are required.
Name:
Last
Name:
Address:
Address
2:
City:
State:
Country:
Zip
Code:
Date
of Birth:
day
month
Age:
Gender:
Nationality:
Telephone:
E-Mail:
College,
University or School Attending /ed:
Occupation:
Have
you studied Spanish?:
YES
NO
Other
languages?:
Campus
you want to attend:
Cuernavaca
Puerto Vallarta
Playa del Carmen
Oaxaca
Probable
Spanish level:
Beginning
Intermediate
Advanced
Reasons
for learning Spanish?:
TYPE
OF PROGRAM:
Type
of Program you wish to enroll in:
Regular 15 hours
Regular 25 hours
Individual
Executive
Planned
Date of enrollment:
(Starts on Monday)
day
month
Number
of weeks
Type
of Housing Plan you wish to enroll in:
A. Private Room
Full
board
Half
board
Breakfast
B. Shared
Room
Full
board
Half
board
Breakfast
C. Independent housing.
(Hotel, Condo, Rental House).
(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
month
End:
day
month
Restrictions
or allergies to food or animals:
Bothered by cigarrette smoke?:
Yes
No
Interests
and hobbies:
FLIGHT
INFORMATION
Airline:
Flight
No:
Date
of arrival:
day
month
Time
of arrival:
City
of departure:
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
"TOS"
