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REGISTRATION
Read our Terms and Conditions
 
GENERAL INFORMATION

GENDER

FAMILY NAME *

 FIRST NAME *
DATE OF BIRTH *
Month Day Year
NATIONALITY *
 NATIVE LANGUAGE *
PASSPORT # / C.E.
 E-MAIL *

CITY

 PROVINCE / STATE
 COUNTRY *
TELEPHONE # *
 FAX #
 CELLULAR #
EMERGENCY CONTACT INFORMATION ABROAD

NAME *

 RELATIONSHIP *
 TELEPHONE *
CITY *
 		PROVINCE/STATE *
 		COUNTRY *
  
CONTACT INFORMATION IN LIMA

NAME

 TELEPHONE
 		ADDRESS
 
WHERE DID YOU FIND OUT ABOUT ELSOL? * IF "OTHER", PLEASE SPECIFY
 
LANGUAGES SKILLS
HAVE YOU STUDIED SPANISH BEFORE? *
  		 IF YES, HOW LONG AGO?
 HOW LONG WAS YOU PROGRAM (in months)?

WHAT OTHER LANGUAGES DO YOU SPEAK?

WITH RESPECT TO MY SPANISH LEVEL, I AGREE WITH ONE OF THESE: *
I can...

 
COURSE OPTIONS (select one or more)
GROUP PROGRAMS      YES NO
INTENSIVE COURSE (Grammar and Conversation) 9:00 am to 1:00 pm, Monday to Friday
SEMI-INTENSIVE COURSE (Grammar) 9:00 am to 10:50 am, Monday to Friday
SEMI-INTENSIVE COURSE (Conversation) 11:10 am to 1:00 pm, Monday to Friday
 
I WILL START MY CLASSES ON

 

 AND STUDY FOR WEEKS
16-WEEKS COURSE (Sep 01, 2008 to Dec 19, 2008) 9:00am to 1:00pm, Monday to Friday
INTEGRAL COMMUNICATION COURSE (Grammar and Conversation) Monday - Wednesday - Friday
 
Please select your preferred schedule  
2:00pm to 4:00pm 6:00pm to 8:00pm  
I WILL START THIS CLASSES ON AND STUDY FOR WEEKS
 
PRIVATE PROGRAMS     YES NO
PRIVATE SPANISH CLASSES
AT EL SOL
Indicate your starting date
Month Day Year
Indicate your preferred schedule

AT HOME/OFFICE
Indicate your starting date
Month Day Year
Indicate your preferred schedule
Indicate your address
BRIEFLY INDICATE WHY YOU ARE INTERESTED
IN STUDYING SPANISH
PRIVATE DANCING CLASSES AT EL SOL
Indicate your preferred schedule and starting date		  
 

DAY CARE AT KINDER CARE PRESCHOOL (Two blocks from El Sol) Learn more

ONLY FOR STUDENTS' CHILDREN
8:30 am to 1:00 pm, Monday to Friday
Please specify the dates you wish to begin and end

  
 
ACCOMMODATION

I WILL NEED A HOMESTAY FAMILY *

See Student Homestay Agreement
FROM:
Month Day Year
TO:
Month Day Year
I PREFER A HOME WITH A PRIVATE BATHROOM (extra cost)
ARE YOU A SMOKER?
ARE YOU A VEGETARIAN?

COMMENTS FOR HOST FAMILY

 
AIRPORT PICKUP

I WILL NEED AIRPORT PICKUP *

IF YOU HAVE REQUESTED AIRPORT PICKUP,
PLEASE PROVIDE US WITH THE FOLLOWING:
Airline, flight number, arrival date and time (use 24-hour clock)
 
INTERNATIONAL TRAVEL INSURANCE

WOULD YOU LIKE EL SOL TO ARRANGE
YOUR INTERNATIONAL TRAVEL INSURANCE? *

See terms and conditions of international travel insurance

COVERAGE FROM:
Month Day Year
TO:
Month Day Year

 
I have read and agree with the Terms and Conditions.
 
After clicking here, you should immediately receive a confirmation message indicating that we have received your booking.
If you do not, please contact us as soon as possible at elsol_info@idiomasperu.com.