Spanish Programs Form Casa Xelajú

Name & Last Name *

Date of Birth:

Sex:MaleFemaleOther

Phone *

Email Address *

Emergency Phone Number

Street Address *

Passport # and Nationality *

Interests / Hobbies

College

StudiesHigh SchoolUniversityOther

If other, please specify

Do you wish to receive college credits?Yes ($15 for handling paper work when applying for college credits)No

If Yes, answer the question below How many credits do you wish to obtain? and name of the University.

What kind of credits are you applying for? *College CreditsOthers

Please specify

Languages (find your Level Written/Verbal) Spanish Level

Native Language

Other Language

Have you studied Spanish?YesNo

If yes, answer where and how long?

When do you want to start your classes?

How many weeks do you want to study?

If checked others

Please enter here the kind of literature you want to study:

Family Special dietary

Family Special dietary needsNoVegetarianVeganOther

If checked other

Health

Allergies *

Medical problems *

Travel information (If known)

Would you like to be met at the airport?YesNo

Which Airport?

Airline

Flight #

Date of arrival

Time of arrival

Hours

Minutes

Inquiry

Where did you learn about Casa Xelajú?

Please mail out $50.00 registration and deposit x numbers of weeks you will study, personal check to Julio Batres (4701 Zenith Ave. S., Minneapolis MN 55410). Too you can pay the tuition, rent and other services ahead of time via Paypal (julio@casaxelaju.com) or Venmo (@julio-batres-7). Please make the payment as a family/friend. Otherwise, these services will charge 3% of your payment. Any questions?. Total amount to advance (US $) *

Comments and suggestions would be appreciated

Acknowledge that I have read and understand the conditions presented and understand my financial obligations which begin upon receipt of my confirmation. *I've read terms and conditions

Spanish Programs