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Register for Spanish Programs

 

Registration Form

If you are ready to register for our programs, please complete the following form and we will reply with a confirmation. If you would like more information about our programs, or have other questions, please use our question or inquiry form. Please be sure all information is completed accurately, then click the "Submit" button at the bottom of the form.

Please complete all forms in either English or Spanish.

Personal Information: (* denotes required field)

Last Name* First Name* MI
Sex 
Date of Birth (dd/mm/yyyy)
Country* Passport No.*
Email* Telephone (include country code)
Emergency Contact Name* 

Emergency Contact Phone* 
(Include Country Code)  

Background Information:

Field of Study/Degrees Held
Areas of Interest (Personal/Professional)
Other Languages Spoken
Level
 
 
 
 
Level of Spanish 
 

Arrival Information:
Arrival Date 
  Day    Month    Year 
Arrival Time 
Airline 
Flight Number 
Would you like a free airport pickup?

Course Registration:

One-to-one Spanish classes:

Start Date  Day    Month    Year 
Hours per Day Number of Weeks    

Group Spanish Classes:
Note: We can only enroll students in group classes if there is at least one other student interested in group lessons on the same dates. If not, we will enroll you in individual classes at the individual lesson price.
Start Date  Day    Month    Year 
Hours per Day Number of Weeks
 
Optional Packages (Packages are IN ADDITION TO hours listed above):

Quito Volunteer Package (80 hrs. Spanish classes, volunteer work):
FOUR WEEK PROGRAM. 2 weeks of Spanish instruction or a basic knowledge of the language required before beginning this program.
Start Date  Day    Month    Year 
 

Quito Cultural Package (40 hrs. Spanish classes, 8 Excursions in/around Quito):
TWO WEEK PROGRAM
Start Date  Day    Month    Year 
 

Study Spanish in Ecuadorian Communities (Intensive Language and Culture Program):
2 weeks of Spanish instruction or a basic knowledge of the language recommended before beginning this program.
Start Date  Day    Month    Year 
Coastal Progam (Agua Blanca and Puerto Lopez, 2 weeks)  
Sierra Program (Community of La Chimba, 1 week)  
 
Registration Notes:
If you would like to add any further information about your registration, please do so below.

Accommodation Preferences:
I prefer a: Homestay (recommended) Hostel I prefer to make my own arrangements
Specific accommodation preferences or comments:

General Information:

If you have any further questions or comments regarding this registration request, please enter them here:

Volunteering and Internships:

If you are interested in doing volunteer work during your stay in Ecuador, after or during your Spanish classes, please note your interests and the duration of your stay here. We will let you know what options we can offer you.
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