Habla Spanish Immersion Registration
Even if you have more than one person registering, please fill out the required information for each person. Please write us at
contact@habla.org
if you have any questions. Once we receive your registration, we will contact you by email to let you know about class availability. ¡Muchas gracias!
* Required
Email address
*
Your email
Full Name
*
Your answer
Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone
*
Your answer
Occupation (optional)
Your answer
Emergency Contact (Name, Email, Phone)
*
Your answer
Course Level (choose one)
Beginner "I know hardly any Spanish at all. If I took classes before, I've forgotten almost everything."
Intermediate ""I can basically speak in the present. I can get the gist of a newspaper when reading."
Advanced ""I am very communicative. I might have some trouble conjugating verb tenses."
Other:
Class Start Date
MM
/
DD
/
YYYY
Class End Date
MM
/
DD
/
YYYY
Homestay Start Date (if applicable)
MM
/
DD
/
YYYY
Homestay End Date (if applicable)
MM
/
DD
/
YYYY
How did you hear about Habla? (optional)
Your answer
Dietary Needs
*
Please tell us about any special dietary needs or restrictions you might have. Include information about food allergies here please. We serve traditional Mexican and Yucatecan food at Habla every day and we will do our best to accommodate your dietary needs.
None
Vegetarian
Vegan
Other:
What do you hope to get out of your Habla experience? (optional)
Your answer
What would you like to tell us about yourself? (optional)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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