Spanish Language Schools Rate Quote for Private Spanish Immersion Classes in Mexico


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INSTITUTO CHAC-MOOL SPANISH SCHOOLS
Cuernavaca, Morelos, Mexico
Tulum, Quintana Roo, Mexico

One form per person please.
Use this form to register -or- request a rate quote for private Spanish classes.

SECTION ONE:

Registration or Rate Quote? Registration Rate Quote Only
Location: Cuernavaca, south of Mexico City Tulum, south of Cancun
Type of Class (for peer group classes please use other registration form): Private Classes Semi-Private Classes
Date to begin class: Length of study:
SECTION TWO - About yourself:
Email Address:
Alternate Email:
	a second email address for you is helpful
Name:
If Registering, Include Mailing Address:
Primary Phone:
Cell Number:	(helpful info if you are traveling with your cell phone)
Age and month/day of birth: Female Male
Occupation/where you work - Retired - Field of study/school:

Why do you want to learn Spanish?

What contact, if any, have you had with the Spanish language? If so, for how long? Include date of previous attendance at Chac-Mool, if applicable.

SECTION THREE - Course Requirements
Is there field of interest required for your Spanish course? Sample choices: Spanish for travel, business, emergency medicine, nursing, immigration law, law enforcement, social work, clergy, teachers proficiency testing, etc. (be specific, it will help our instructor prepare your individualized course).

Give a number from 1 (lowest) to 10 (highest) your class priorities:
Vocabulary:
Specialized Field Trips:
Reviewing/Writing/Interpreting Documents:
Situational Role Playing:
Lecture Preparation:
Volunteering:
Other (details please):
SECTION FOUR - FOR OUR HOUSING DIRECTOR if not needed proceed to Section Five:
Date to begin housing: Date to depart housing:
What kind of living arrangements would you like? CHECK YOUR FIRST CHOICE:
With a host family, including 3 daily meals: Single Room with Private Bathroom Single Room with Shared Bathroom Shared Room with Private Bathroom (not available if school assigns your roommate) Shared Room with Shared Bathroom
Guesthouses are limited, if not available you will be assigned a host family Guesthouse Rental - no meals Guesthouse Rental - with meals
Vegetarian meals? No Yes No red meat
State other desired housing requirements below:
Is a private airport pick up desired? No Maybe Yes
SECTION FIVE- Questions or comments:

SECTION SIX - TO SUBMIT PLEASE TYPE IN WORDS OR CHARACTERS AS SHOWN BELOW:

Contact our Spanish School representative