Reservations

Personal Information
Complete Name:
Age group :	17-25 26-35 36-45 46-65
Gender:	Male Female
Country:
E-mail:
Confirm your E-mail:
Alternative E-mail:
How did you hear about us?
If you heard about us by internet: which site?
Spanish Course Information
Have you to studied Spanish before?	Yes No
Have you studied at any Latinoamericana locations, if so when, where and how long:
Spanish Level:
Is there any special theme that you would like study?
Course Program
Intensive Course	Weeks
Super Intensive Course	Weeks
Private Lessons	Weeks
Courses with Academic Credit	Weeks
Flavours of the Andes	Weeks
Activa Lessons	Weeks
Medical Service Learning	Weeks
Cloud Forest Program	Weeks
Spanish for Teachers	Weeks
Teen Program	Weeks
Volunteer Work	Weeks
Arrival Information
Would you like your host family to pick you up from the airport?	Yes No
Would you prefer to stay with:	Host family Student residence
Arrival Date:
Airline / Flight # / Time:
Arrival City:	(Important)
First Day Lodging:
Last Day Lodging:
First Day at School:
Last Day at School:
Comments:
Extra days with host family are available at USD 18,00 per day per person. These are paid for in your arrival city.

Sucre

Cusco

Quito

Academia Latinoamericana de Español
Spanish in Ecuador - (593 2) 2250 946 or 2267 904 or 2267 905 or Fax: (593 2) 2267 906
Spanish in Peru - Tel. & Fax: (51-84) 243 364
Spanish in Bolivia - Tel. & Fax: (591 4) 6439 613 or (591 4) 6427 085 info@latinoschools.com