Enrolment Form

Choose Language :

Enrolment Form

for a Spanish course in

the following information is submitted:

Personal Information

Name: Last Name:

Date of Birth:

Mother Tongue: Occupation:

Adress:

e-mail:

Phone: Fax: Cell phone:

Language Course

Spanish Course Quechua Course Preparation DELE

Three Months Peru intensive (Spanish language classes + volunteer work) Details

One-to-one Course: Standard Intensive
From to

Minigroup: Standard Intensive
From to

What is your Spanish Level?
Beginner Elementary Intermediate Advanced

Volunteering

Practicum - Volunteering: yes no
From to

preferred
fields & organizations:

Accomodation

Accomodation (for hotel reservations, please, look at our general information page)
family accomodation: SR DR
Hostel/Hotel: SR DR
No accomodation

Transfer Lima - Cusco

Transfer in Lima: yes no
(airport-hotel-airport)

Arrive in Lima:
at D/M/Y
with (Airline)

Accomodation in Lima: yes no
from: D/M/Y¦ to: D/M/Y

Is your flight Lima - Cusco already booked? yes no
Arrive in Cusco: D/M/Y (time)
Should Acupari book it? yes no

	for: D/M/Y (time)
	please provide us your passport number

Other informations:

Please read the Terms of Service

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