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ABC Spanish Courses

ABC Spanish Schoos - APPLICATION FORM.
Buenos Aires - Patagonia - Mendoza - Ushuaia - Santiago de Chile

Application Form
Surname:
First name:
Nationality
Sex
Date of Birth (mm/dd/year)
Address
Zip Code
City
Country
Phone Number
FAX
E-Mail
Please confirm your E-Mail
-
Emergency Contact in your country (Name & Phone):
Profession/occupation ---- Company / University / School
Your Spanish Level
Years you have been studying Spanish
Your mother tongue
Expectations, interest and needs for your Spanish program:
¿How did you hear about ABC?
SPANISH COURSES
I Wish to Book (you can combine our locations):
weeks in Buenos Aires.
weeks in Bariloche.
weeks in Mendoza.
weeks in Ushuaia.
weeks in Chile.
Select your Program:
GROUP COURSE (20 group classes per week):
PRIVATE COURSE (Private Classes):
2 classes/day 3 classes/day 4 classes/day
6 classes/day 8 classes/day
COMBINED COURSE (20 group plus 10 private classes per week)
Only for BUENOS AIRES (complete only if you have selected Buenos Aires)
I wish to start classes in Buenos Aires: Day Month Year
Arrival Date in Buenos Aires: Day
Month Year
Departure Date from Buenos Aires: Day
Month Year
Accommodation:
Homestay with breakfast and dinner
Homestay with breakfast
Homestay without meals
Private Apartment
Not required (I have my own accommodation)
Airport pick-up (we can arrange this service and you can pay directly to the driver, without extra cost):
No - Yes - Flight details:
Tango Program (7 classes per week):
No - Yes
Only for PATAGONIA, BARILOCHE TOWN (complete only if you have selected Patagonia)
I wish to start classes in Patagonia (Bariloche): Day Month Year
Arrival Date in Patagonia (Bariloche): Day
Month Year
Departure Date from Bariloche: Day Month Year
Accommodation at:
Homestay with breakfast and dinner
Not required (I have my own accommodation)
Airport pick-up (without additional cost):
No Yes Flight details:
Only for MENDOZA (complete only if you have selected Mendoza)
I wish to start classes in Mendoza: Day Month Year
Arrival Date in Mendoza: Day
Month Year
Departure Date from Mendoza: Day Month Year
Accommodation at:
Homestay with breakfast and dinner, + plus lunch at weekends
Homestay without meals
Not required (I have my own accommodation)
Vegetarian food:
No Yes
Do you prefer only a family without children?
No Yes -
Do you smoke: No Yes ----- Do you prefer only a non-smoking family? No Yes -
Airport pick-up:
No Yes
Flight details (flight number, airline, exact arrival date and time. The same if you arrive by bus):
Only for USHUAIA (complete only if you have selected Ushuaia)
I wish to start classes in Ushuaia: Day Month Year
Arrival Date in Ushuaia: Day
Month Year
Departure Date in Ushuaia: Day
Month Year
Accommodation:
Bed&Breakfast (private room)
Hostel (shared room)
Not required (I have my own accommodation)
Airport pick-up
No Yes Flight details:
Only for CHILE (complete only if you have selected Chile)
I wish to start classes in Chile: Day Month Year
Arrival Date in Chile: Day
Month Year
Departure Date in Chile: Day
Month Year
Accommodation:
Homestay with breakfast
Not required (I have my own accommodation)
Airport pick-up
No Yes Flight details:
ADDITIONAL INFORMATION
Health (allergies, medical treatment, etc)
Comments: