New Learning Academy :: Costa Rica

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Registry form
The field with an ( * ) are required.

1. Course Information --------------------------------------------------------------------------------
Type of course
Hours per day
Private Tutoring
Number of weeks
Homestay	Yes No
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2. Personal Information --------------------------------------------------------------------------------
Name *
Date of Birth
Nationality
Address
State / Province
Zip Code
City
Phone (home) *
Cellular
Phone (work)
Fax
E-mail *
Occupation
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3. Group Information --------------------------------------------------------------------------------
Come	Individual
	Family Adults Children
	Group Adults Children
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4. Knowledge of Spanish --------------------------------------------------------------------------------
	Beginner
	Intermediate
	Advanced
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Check out your spanish level here in the Spanish test .


5. Tours --------------------------------------------------------------------------------
2 - 3 Days	Manuel Antonio National Park
	Monteverde Cloud Forest
	Hotel Playa Tambor
	Tortuguero Canals
One Day	Arenal & Hot Springs
	Arenal Adventure
	The Best of Costa Rica
	Café Britt Coffee Tour
	Canopy Tour
	INBIO parque
	Isla Tortuga
	Rainforest Aerial Tram
	White Water Rafting Reventazón
	White Water Rafting Pacuare
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6. Other ... --------------------------------------------------------------------------------
Do you smoke ?	Yes No
Special requirements	(for example: diets, allergies, health problems, religious restrictions, dislike for pets, other ...)
Hobbies and interests
How long have you studied Spanish ?
Where ?
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When will you arrive in Costa Rica ?
Flight number
Airline company
Will you need airport transfer ?
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How did you find us ?
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7. In case of an emergency ... --------------------------------------------------------------------------------
Name
Address
Phone
Fax
E-mail
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	We will require payment in advance. We will send you all the information needed after you complete and submit the Enrollment Form. In order to guarantee your place in a particular course, please submit your application two weeks prior to arrival.
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