WAYRA Instituto de Español Application Form Name:______________________________ Last name:______________________________ Date of birth:_________________________ Age:_______________ Sex:________________ Nationality:__________________________ Passport #:______________________________ Profession:__________________________ Place of employment:______________________ Home Address:_______________________________________________________________ _________________________________________________ Tel:_______________________ Adress in Costa Rica:__________________________________________________________ _________________________________________________ Tel:_______________________ In case of emergency, contact:_________________________ Tel:_______________________ Relationship:______________________________ How did you learn about WAYRA?______________________________________________ PROGRAM: What is your level of Spanish? Zero___ Beginner___ Intermediate___ Advanced___ I would like to start classes Monday (date):___________________________________ I intent to study for:__________week(s),__________hours daily; group___ private___ LODGING PREFERENCES: Arrival date to Tamarindo:_________Time:_________Airline and flight No._________ Departure date:__________________________________________________________ I want a first class ___ second class ___ third class ___ Hotel apartment ___ cabin ____ Hotel preference:________________________________________________________ Other information:_______________________________________________________ Print and mail this application together with your deposit at least one month before classes begin: PAYMENT METHOD: A completed application along with a $200 deposit is required to hold your reservation. Balance is due the first day of class. Payment must be made as cash, in U.S. dollars, to WAYRA Instituto de Español or as an international money order or traveler's check. Cancellation and refunds: the cancellation fee is $ 200. No refunds for partial weeks of study. If your lodging is arranged with WAYRA and your are flying to Playa Tamarindo, you will be picked up at the airport.   WAYRA Instituto de Español Calle Real Playa Tamarindo, Costa Rica Fax:(506) 653 0359 E-mail: WAYRA@spanish-wayra.co.cr Return to home