PLEASE COMPLETE ONE FORM PER FAMILY, COUPLE, ETC., COMING TOGETHER TO SAVE TIME.

Friends or family members not wishing to study are still welcome in family homestays and can be included for a fee in some program activities such as excursions.

REGISTRATION FROM AVENTURAS LANGUAGES

School Name and Country for Your Language Studies *

NAME:
First Name: *
Last Name: *

CONTACT INFORMATION:

Email (Check for Accuracy):
*
Repeat Correct Email Address (Check for accuracy):
*

Phone number, including area code:
*

ADDRESS:

Street Address:
*

City, State/Province, Country, Postal Code:
*

Arrival/Study Program/Accommodations

Do you want airport pick-up (an extra charge for some locations)?
Yes No*

Flight arrival information w/ airline, flight #, arrival date and hour (send later if not confirmed now):
*

Arrival date to homestay or accommodations (Month/Day/Year):
*

Date to begin classes, usually Monday, though some mid-week entry may be possible (Month/Day/Year):
*
Type of class that you would like:
Small group classes Private instruction Private instruction w/ professional use emphasis Private class/Small group combination classes*
Weeks of study (note if number of weeks includes partial week, i.e., 2.5 weeks)
*
Accommodations Choice:
Family Homestay Private Room w/ Meals Family Homestays Private Room w/o Meals Family Homestay Shared Room w/ Meals Family Homestay Shared Room w/o Meals School or On Campus Housing (linited) Hotel Apartment (longer stays only) No Accommodations Needed*

Gender/Age

Your Gender:
Female Male*
Your Age:
*

Language study experience and focus

What languages have you studied before, when and for how long?
*
How do you intend to use this language after your studies (professional use, travel, etc.)
*
Level of competence in language you will be studying:
Complete beginner Knowledge of some words or phrases Can hold a simple conversation Beyond basic survival speaking ability Able to deal with most any topic Near native competency*

How did you find AVENTURAS LANGUAGES?

I found AVENTURAS LANGUAGES through
Internet search (Google, Yahoo, etc.) Referral from another website A friend/colleague/former student Informational flyer at your school Other*

Emergency Contact:

Please list an emergency contact person including name, phone numbers, email address and address as well as their relationship to you:*

Future information from AVENTURAS LANGUAGES

Would you lilke to be included on our quarterly newletter for program updates and special promotions regarding AVENTURAS LANGUAGES? Yes No*

Comments

Please list any additional information that will be important for us to consider in arranging your language immersion studies and accommodations (dietary concerns, who you are traveling with, special study considerations, etc.). We do send many vegetarians abroad for language studies so this is nothing new to homestay families!
*

Waiver of liability and hold harmless agreement

WAIVER OF LIABILITY AND HOLD HARMLESS STATEMENT: Travel and especially travel to developing countries presents certain risks and uncertainties. I take full responsibility fo accepting these inherent risks. I hold harmless and release from any liability, legal and otherwise, AVENTURAS LANGUAGES: Educational Travel Adventures from anything that may occur. I understand that AVENTURAS LANGUAGES is not a travel agency nor an actual language immersion school and actos only as a promotional representative and language immersion consultant for various language immersion schools in arranging study stays. Yes, I agree to waiver and hold Aventuras Languages harmless No