REGISTRATION FORM Please complete all text boxes, thanks.
Name of participant (required):
Age:
Profession:
Phone Number(including country code):
Email Address (required):
Mailing Address:
City :
State :
Postal code :
Country :
Emergency Contact Info:
-Name:
-Phone Number:
-Email adress:
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:
Would you like to participate in a homestay:
If yes, would you prefer the pseudo homestay or a family homestay:
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:
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.