Spanish Language Accommodation School Bravo - Honduras Trujillo

Thu 28 Aug 2008

Bravo Spanish Language Accommodation School - Honduras Trujillo

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REGISTRATION

If you would like to register for one of our programs please complete the registration form below. Please note there is a registration fee of $50 US payable through Paypal (the rest of the money will be payed at school in cash).

* NAME:

* EMAIL:

* ADDRESS:

Street:
City:
State/Province:
Postal Code:

* TEL. #:

FAX #:

* AGE:

MALE:

FEMALE:

* COUNTRY:

PROFESSION:

PASSPORT NUMBER:

Which website, agency or other source did you find Bravo Spanish School through?

PICK ME UP AT THE AIRPORT (US$150 additional charge):

YES:

NO:

DATE:
TIME:
AIRLINE
FLIGHT #

LENGTH OF PROGRAM DESIRED (weeks):

CLASS DATES

FROM:
TO:

SPANISH LEVEL:

	BEGINNER: (no previous Spanish study)
	INTERMEDIATE: (future, past, present tense, some conversation)
	ADVANCED: (subjunctive, reading, writing, conversation)

WOULD YOU LIKE A HOMESTAY?:

YES:

NO:

Start Date:

FROM:
TO:

Would you like to be the only foreign student in your family?:

YES:

NO:

Please state any preferences, concerns or special requirements you may have in regard to your homestay, e.g. dietary requirements etc.

COMMENTS: