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Stap 1 van 3 - Personal information

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Name*
Voornaam Achternaam
Age
Gender
Email*
City & Country
Emergency contact information (phone number)
Do you want to learn Spanish?
What is your motivation to learn Spanish?
If you already know some Spanish how did you learn this?
Homestay
Do you want to stay with a local family?
Do you want a family with children?
Do you want a family with pets?
Special Diet/Allergies
Volunteer
Do you want to do volunteer work?
What is your motivation to volunteer?

Travelling Classroom
Do you want to participate in a Travelling Spanish Classroom ($2095)?
In which month you want to participate?*
Turrialba School
Do you want to attend the Turrialba School?
1. Standard Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
2. Intensive Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
3. Specialized Spanish
What do you want to learn in your specialized classes?*
Amount of hours*
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
Packages
Volunteer positions
Accommodation option
Other: describe what kind of accommodations you want
First night*
Date Format: MM slash DD slash YYYY
Last night*
Date Format: MM slash DD slash YYYY
Pick up options
Bocas School
Do you want to attend the Bocas School?
1. Standard Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
2. Intensive Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
3. Specialized Spanish
What do you want to learn in your specialized classes?*
Amount of Hours*
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
Packages
Volunteer positions
Accommodation option
Other: describe what kind of accommodations you want
First night*
Date Format: MM slash DD slash YYYY
Last night*
Date Format: MM slash DD slash YYYY
Pick up options
Boquete School
Do you want to attend the Boquete School?
1. Standard Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
2. Intensive Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
3. Specialized Spanish
What do you want to learn in your specialized classes?*
Amount of Hours*
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
Packages
Volunteer positions
Accommodation option
Other: describe what kind of accommodations you want
First night*
Date Format: MM slash DD slash YYYY
Last night*
Date Format: MM slash DD slash YYYY
Pick up options
Puerto Viejo School
Do you want to attend the Puerto Viejo School?
1. Standard Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
2. Intensive Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
3. Specialized Spanish
What do you want to learn in your specialized classes?*
Amount of Hours*
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
Volunteer options
Packages
Accommodation option
Other: describe what kind of accommodations you want
First night*
Date Format: MM slash DD slash YYYY
Last night*
Date Format: MM slash DD slash YYYY
Pick up options
Panama City School
Do you want to attend the Panama City school?
1. Standard Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
2. Intensive Spanish
For the same dates you can also take a Specialized Spanish Course
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
3. Specialized Spanish
What do you want to learn in your specialized classes?*
Amount of Hours*
First day*
Date Format: MM slash DD slash YYYY
Last day*
Date Format: MM slash DD slash YYYY
Volunteer options
Accommodation option
Other: describe what kind of accommodations you want
First night*
Date Format: MM slash DD slash YYYY
Pick up options

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Comments
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