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Reservation
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Email
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Your email
Name:
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Email:
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Gender:
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Male
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Address:
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Zip/Postal Code:
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City:
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State/Province:
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Country:
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Nationality:
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Telephone Number:
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Date of Birth:
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Passport No.:
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Name of contact in case of Emergency:
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Relationship to student:
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Email:
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Spanish Classes
How many weeks would you like to study?
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Your answer
How many hours at week would you like to study?
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20 Hours
25 Hours
What day would you like to begin classes?
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Your answer
What is your Spanish level?
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Beginner
Intermediate
Advanced
Please specify any special areas of study you wish to focus on:
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Accomodation
When will you arrive in Quetzaltenango?
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YYYY
Would you like to stay with a host family?
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Yes
No
Please specify any preferences regarding your home stay:
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Please specify any special dietary needs:
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Would you like to stay in Casa Latina?
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Please specify any medical allergies or medical conditions we should be aware of:
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How long will you stay in Quetzaltenango?
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How did you find out about us?
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Any questions or suggestions?
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