Registration form


Please fill in the blanks with the following information

*FULL NAME:
*GENDER:
     
TELEPHONE NUMBER (AREA CODE):
FAX NUMBER (AREA CODE):
*E-MAIL ADDRESS:
COUNTRY:
CITY, STATE AND ZIP CODE:
STREET ADDRESS:
*OCCUPATION:
 
AGE:
*ARRIVAL DAY:
*DEPARTURE DAY:
PROGRAM:
FAMILY:
BREAKFAST
DO YOU WANT TO BE THE ONLY STUDENT STAYING IN THE HOUSE?
     
DO YOU LIKE PETS?
     
DO YOU LIKE CHILDREN?
     
DO YOU SMOKE?
     
DO YOU HAVE ALLERGIES?
     
DO YOU HAVE SPECIAL DIETARY NEEDS?
     

 

Class schedule

From Monday to Friday

Express course: 9:00 am to 11:00 am

Basic course: 9:00 am to 12:10 am

Intensive course: 9:00 am to 1.00 p.m.

Superintensive course: 9:00 am to 1:00 pm or 3:00 pm

Or the last two hours from 4:00 p.m. to 6:00 p.m.