INSCRIPTION FORM SPANISH COURSES FOR FOREIGNERS
PERSONAL DETAILS
     
( * Must be filled in)  
  Name:   *  Surname: *
  Date of Birth:   (dd/mm/yy) * Genre: Male  Female
  Nacionality:   *   Profession/Studies:
  Addres:   *  Town: *
  Post Code:      Country : *
  Phone 1 :   *    Phone 2 : FAX:
  E-mail :   *       
Mother Language:     Other Languages:  
CHOICE OF SPANISH COURSE
  Choose your Spanish Course:        
  Clases per Week     Duration of course
(Weeks): 		  
  Starting date:   Day Month Year

  Comments :

 
TRANSFER SERVICE
  I require transfer service: Yes  No
  On Arrival :  Day Month Year  
  Time of arrival:  Hour  Minutes    
 Flight Numberr
 Train / Bus 		   
  On Departura :  Day Month Year  

  Comments:

 
TRAVEL MEDICAL INSURANCE (Optional)
 
Yes, I would like to sign an insurance for travelling/medical assistance

No, I have my own insurance.

ACCOMMODATION
 
Yes, I would like you to help me find an accomodation

No

  Tipo
  Alojamiento: 		 
  Date of Arrival:  Day Month Year  
  Total period of stay :   Weeks    

  Comments:

 
REMARKS
 Level of Espanish:      
 I have found out about Zahama through      

  Remarks: