Enrollment Form

( ) I would like to enroll in your Spanish Language Program. Please make arrangements for ______ weeks of study for ______ person(s). I have enclosed a $50 per person deposit to confirm my reservation for language classes.

Name & Address of student: _____________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

(Please enclose the names of any other students for whom you are making reservations.)

Age: ( )15-29 ( )30-49 ( ) 50+

Level of Spanish study: ( ) Beginner ( ) Intermediate ( ) Advanced

Period of study: _______________________ through __________________________

( ) I would like to take part in your homestay program. Please place me with a Costa Rican family for the following dates.)

Beginning: ___________________________________
Ending: _____________________________________

( ) I have enclosed a $50 deposit per person to confirm my homestay reservation. (Please also include any special requirements you may have, i.e., non-smoking, vegetarian.)

( ) I would like to be met at the airport.
( ) Below is my flight information.

Airline _______________________ Flight # _____________________
Arrival Date & Time _________________________________ a.m./p.m.

( ) Flight information forthcoming.

( ) I do not need to be met at the airport. Please send me the name, address and phone number of the family with whom I will be staying.

Instructions: