Register

PERSONAL DATA ( Fields marked in red must be completed )

NAME :
COUNTRY :
EMAIL :
How many times have you been to Escuela Mexicana?

DATE OF BIRTH :

STATE :
TELEPHONE:
How did you hear about Escuela Mexicana? :

AGE :
CITY:
FAX:

ACADEMIC DATE OF ARRIVAL :

CLASSES STARTING DATE:

DATE OF DEPARTURE:

ORGANIZATION

APPROXIMATE LEVEL:

EXPERIENCE IN SPANISH:

TYPE OF PROGRAM TYPE OF PROGRAM

ADD

LODGING HOSTING

TAXI TAXI

OTHERS Allergies, Physical restrictions, food restrictions, etc.

In case of emergency notify CALL

TELEPHONE