PERSONAL INFORMATION
(Fields marked in red must be completed )
Complete Name
Date of birth
Age
Phone number
e-mail address
City
Country
State
Zip Code
How many times have you been to Escuela Mexicana?
ACADEMIC INFORMATION
Program in which you are interested
Programs
INTENSIVE TRAVELER - 4 PRIVADAS
TRIMESTER
PLUS
ADOLESCENT
INTENSIVE TRAVELER - 2 GRUPOS Y 2 PRIVADAS
STANDARD
CHILD
AP
Do you require private lessons?
Select private
1
2
3
4
5
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7
8
9
10
Approximate level
Approximate level
Beginner
Intermediate
Advanced
Have you had previous experience in Spanish?
Please explain
Date of arrival
Classes starting date
Date of departure
ACCOMMODATION
Hosting
- Select -
FAMILY
Residente School
OTRO
If is other especify
Room
- Select -
Room with shared bathroom
Room with private bathroom
Meals
- Select -
2 MEALS
Taxi
- Select -
YES
NO
Airline
FLIGHT NUMBER
HOUR
Hour
01
02
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06
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09
10
11
12
Mins
01
02
03
04
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59
AM
PM
DAY
OTHERS
Allergies, physical restrictions, food restrictions, etc.
In case of emergency notify
Call name
If so, please communicate as soon as possible the following information: Date and time of arrival, Flight number, Airline.