Habla Spanish Immersion Registration

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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 *

Full Name *

City, State *

Country *

Date of Birth *

YYYY

Phone *

Occupation (optional)

Emergency Contact (Name, Email, Phone) *

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:

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Class Start Date

YYYY

Class End Date

YYYY

Homestay Start Date (if applicable)

YYYY

Homestay End Date (if applicable)

YYYY

How did you hear about Habla? (optional)

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)

What would you like to tell us about yourself? (optional)

A copy of your responses will be emailed to the address you provided.

Submit

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