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!
Email address *
Full Name *
Your answer
Address *
Your answer
Date of Birth *
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Phone *
Your answer
Occupation (optional)
Your answer
Emergency Contact (Name, Email, Phone) *
Your answer
Course Level (choose one)
Class Start Date
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YYYY
Class End Date
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DD
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YYYY
Homestay Start Date (if applicable)
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DD
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Homestay End Date (if applicable)
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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.
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.
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