Family Name
First Name(s):
Date of birth:
Nationality:
M
F
Tel.:
Fax:
E- Mail:
Profession:
COURSE INFORMATION
IN WHICH COURSE DO YOU WANT TO REGISTER?
PART TIME SPANISH
No. Hours/week:
Starting date:
GENERAL SPANISH
INTENSIVE SPANISH
DELE PREPARATION
BUSINESS SPANISH
INDIVIDUAL TUITION
No. Hours:
OTHER COURSES:
NUMBER OF WEEKS:
LEVEL OF SPANISH:
OTHER INFORMATION
DO YOU NEED ACCOMMODATION?
Any other preferences?
Adress:
Phone:
DO YOU NEED A TAXI FROM the AIRPORT TO YOUR ACCOmMODATION?
Yes Please tell us your flight details as soon as possible.
No Please tell us what time you think you will arrive at your accomodation.
DO YOU SMOKE?
Yes
No
Is it OK to be with a family who smoke?
ABOUT YOUR FOOD...
ABOUT YOUR HEALTH...
I do not eat red meat (eg. Beef)
Do you suffer from:
Diabetes
I do not eat white meat (eg.chicken)
Epilepsy
an allergy?
I do not eat pork
I do not eat fish
I do not eat dairy products (milk, cheese, etc)
Other. Please say what:
HOW DID YOU HEAR ABOUT INSTITUTO DE IDIOMAS GEOS?
Place and date:
DO YOU NEED
ACCOMMODATION?DO YOU NEED A TAXI FROM
the AIRPORT
TO YOUR ACCOmMODATION?DO YOU
SMOKE?HOW DID YOU HEAR ABOUT INSTITUTO DE IDIOMAS
GEOS?