PLEASE COMPLETE ONE FORM PER FAMILY, COUPLE, ETC., COMING TOGETHER TO SAVE TIME.

Friends or family members not wishing to study are still welcome in family homestays and can be included for a fee in some program activities such as excursions.

REGISTRATION
Please Note the LANGUAGE SCHOOL/COUNTRY School Name and Country for Your Language Studies
*

NAME:
First Name: *
Last Name: *

CONTACT INFORMATION:

Email (Check for Accuracy):
*
Repeat Correct Email Address (Check for accuracy):
*

Phone number, including area code:
*

ADDRESS:

Street Address:
*

City, State/Province, Country, Postal Code:
*

Arrival/Study Program/Accommodations

Do you want airport pick-up (an extra charge for some locations, although all San José, Costa Rica programs include this)?
Yes No*

Flight arrival and departure information w/ airline, flight #, arrival date and hour (send later if not confirmed now):
*

Arrival  AND departure date to and from homestay or accommodations (Month/Day/Year):
*

Date to begin classes, usually Monday, though some mid-week entry is often possible for those wanting to stay longer such as 1.5 weeks instead of 1 week (Month/Day/Year):
*
Type of class that you would like :
Small group classes Private instruction Private instruction w/ professional use emphasis Private class/Small group combination classes*
Weeks of study (note if number of weeks includes partial week, i.e., 2.5 weeks)
*
Accommodations Choice (different schools may have limited options. Some have private bathrooms available as well at perhaps some additional cost):
Family Homestay Private Room w/ Meals Family Homestays Private Room w/o Meals Family Homestay Shared Room w/ Meals Family Homestay Shared Room w/o Meals School or On Campus Housing (linited) Hotel Apartment (longer stays only) No Accommodations Needed*

Gender/Age

Your Gender:
Female Male*
Your Age (approximately is fine, too!).
*

Language study experience and focus

What languages have you studied before, when and for how long?
*
How do you intend to use this language after your studies (professional use, travel, etc.)
*
Level of competence in language you will be studying:
Complete beginner Knowledge of some words or phrases Can hold a simple conversation Beyond basic survival speaking ability Able to deal with most any topic Near native competency*

How did you find us?

I found you through
Internet search (Google, Yahoo, etc.) Referral from another website A friend/colleague/former student Informational flyer at your school Other*

Emergency Contact:

Please list an emergency contact person including name, phone numbers, email address and address as well as their relationship to you. This information is rarely needed, but important for us to have on file:* Future information from us

Would you like to be included on our quarterly newsletter via email, noted in subject line for easy identification, for program updates and special promotions regarding AVENTURAS LANGUAGES? Yes No*

Comments

Please list any additional information that will be important for us to consider in arranging your language immersion studies and accommodations (medical information, especially related to independent Teens traveling to Teen programs, dietary concerns, who you are traveling with, special study considerations (medical Spanish, business Spanish, etc.). We do send many vegetarians abroad for language studies so this is nothing new to homestay families!
*

Waiver of liability and hold harmless agreement

WAIVER OF LIABILITY AND HOLD HARMLESS STATEMENT: Travel and especially travel to developing countries presents certain risks and uncertainties. I take full responsibility for accepting these inherent risks. I hold harmless and release from any liability, legal and otherwise, AVENTURAS LANGUAGES: Educational Travel Adventures from anything that may occur. I understand that AVENTURAS LANGUAGES is not a travel agency nor an actual language immersion school and acts only as a promotional representative and language immersion consultant for various language immersion schools in arranging study stays.

No Yes, I agree to waiver and hold Aventuras Languages harmless

*Teen registrants traveling alone should note medical history, current medications above in the Comments section. Parents please write a release in the body of our Comments section to authorize the study abroad program to obtain urgent or emergency medical treatment as needed. You will be informard immediately by the school of any medical  issues arising while abroad.

Please click send button ONCE!!

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AVENTURAS LANGUAGES
Educational Travel Adventures
Language and Cultural Immersion Program Consultants
SOQUEL, CALIFORNIA, USA (Santa Cruz, California area, south of San Francisco)
Phone Toll -Free (US/Canada): (866) 4-SPANISH or (866) 477-2647
For International students from outside the US and in the Santa Cruz, California area: (831) 476-6360

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