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Please fill in the following information :

First Name
Last Name
Address
Address (cont.)
City
State/Province
Zip Code
Country
Telephone
E-mail
Confirm E-mail

Personal Information:

Date of Birth -- mm/dd/yy

Sex: Male  Female

Course Information:

What level of student would you consider yourself?:

--Please Choose-- Beginner Intermediate Advanced

Have you studied Spanish before (please choose one answer)?

--Please Choose-- Never Less than 1 year 1-2 Years 3 Years or more

Choose the number of weeks that you would like to attend:

--Please Choose-- 1 Week 2 Weeks 3 Weeks 4 Weeks 5 Weeks 6 Weeks 7 Weeks 8 Weeks More than 8 Weeks Don't know at this time

Our standard program includes 4 hours per day of private instruction but we do offer additional hours. Please select the number of hours per day you would like to study: 

  --Please Choose-- Four hours per day Five hours per day Six hours per day

Add-on packages:

If you are interested in any of our additional activity packages, please specify which ones by selecting from the drop down menus. If you are studying for more than one week, you may choose multiple activity packages. For example, if you study for three weeks, you could take one week of rock climbing, one week of volunteering and leave the third week free. Activity packages are completely optional.

(The add-on package rates listed are in addition to the Spanish Immersion/Homestay rates)

Volunteering: 

If interested,  --Choose # Weeks to Volunteer-- One Week - No Additional Cost Two Weeks- No Additional Cost Three Weeks- No Additional Cost Four Weeks- No Additional Cost Entire Time- No Additional Cost Not Sure

Rock Climbing Adventure:

If interested, --Choose # Weeks of Rock Climbing One Week Two Weeks Three Weeks Four Weeks

Culture & Shopping Tours with Spa Option:

If interested,  --Please Choose-- 1 Week with Day at the Spa 1 Week without Day at the Spa

Please describe any specific goals that you would like to achieve while studying Spanish at Linguas (if you chose the volunteer program above, please indicate how many hours per day you would like to volunteer and any specific requests you may have):

What date would you like to begin your classes?

-- mm/dd/yy

ACCOMMODATIONS:

Please choose your accommodations preference:

--Please Choose-- Homestay Hotel Do Not Need Accomodations

If choosing a homestay, please answer the following questions:

Will anyone else be traveling with you that will need homestay accommodations?

No Yes

If others will be traveling with you, will they be studying at Linguas as well? 

Traveling Alone Yes No

Please describe any special requests you may have for sleeping arrangements/accommodations in the box below. We require that each person fill out the registration form, but you can indicate names of friends or family members below that you would like to be housed with the same family. 

Are you willing to stay with a family that has pets? 

  Yes No

Do you smoke? Yes No

Are you willing to stay with a family that smokes?

Yes No

Please enter any diet restrictions that you may have (for example, vegetarian or food allergies):

How did you learn about Linguas?

Web Site School Directory Friend Other

Please specify any additional comments below: