REGISTRATION FORM

1. PERSONAL INFORMATION
Name and last name:
Birth day and place: 

Male:  Female: 

Legal status: 

Address: 
Phone:
Fax:
Email:

Profession: 
Where did your hear from us?
Which languages do you speak? 
Have you taken Spanish lessons before?  Yes No 
If yes, where?  how long? 
How experienced do you think you are?

IMPORTANT

PROGRAM FOR WHICH YOU SIGN (hours per day, with homestay, etc.)? 

DATE OF ARRIVAL AT OUR SCHOOL
DATE, TIME AND FLIGHT NUMBER 

Do you wish airport pickup?  Yes No 

2. ACCOMMODATION
Which kind of accommodation or family do you prefer?
Private Room  Group Room 
Quiet Atmosphare  Social Atmosphare 
Children Pets
Smoker  Nonsmoker 
Vegetarian or non-vegetarian food 
Other wishes 
Do you have allergies or other heriditary health problems? (which) 
 
NOTE: The provided information will be used to pick the right homestay family. However, we can not guarantee to always fullfil your expectations.

What are your hopes from this lesson or travel experience? 

[if send via por Fax, dann bitte diesen Teil ausfüllen]

Signature of student___________________________ Date

PERSON HAVING TO BE NOTIFIED IN CASE OF EMERGENCY
Name & Relation to student

Address

Telefon (home)
(at work)