REGISTRATION FORM Please complete all text boxes, thanks.
Name of participant (required):
Email Address (required):
Age:
Profession:
Phone Number(including country code):
Mailing Address:
City :
State :
Postal code :
Country :
Emergency Contact Info:
-Name
-Phone Number :
-Email address :
How did you hear about us?:
Names of other people in your party that will be studying at I.L.P.E:
Arrival date in Puerto:
Departure date from Puerto:
Preferred first date of studies at I.L.P.E:
Preferred last date of studies at I.L.P.E:
Did you want one of our package programs? If so, which one? :
Hours per day you would like to study Spanish:
Days per week you would like to study Spanish (we teach 7 days a week):
Preferred time of day of studies:
Do you prefer group or private classes:
Do you have a specific focus within your studies of spanish:
Will you be participating in a homestay, pseudo homestay or staying in an onsite bungalow or student apartment? If yes, which one?
If no, where will you be staying? If you don't know yet, please lets us know when you find out:
Would you like to do any tour or excursions, special workshops, surfing lessons or surf board rentals? If so which ones:
Do you want participate on community service:
By what means of transportation will you be traveling to Puerto? :
If by plane, please share with us your arrival information:
Please give a brief description of you experience with the Spanish language, if any:
Please make sure you've completed all required fields before submitting.
If you have any experience with the Spanish language, please take our Placement exam. It will be helpful for our teachers to prepare for your first lessons.