INSTITUTO CHAC-MOOL
Cuernavaca, Mexico

Referred by Smith World Travel

EACH PERSON SHOULD COMPLETE FORM TO REGISTER FOR SPANISH CLASSES:
Email Address:
2nd Email Address:
our email confirmations are usually being filtered as trash or spam by your ISP, so a second email address is helpful
Name:
Address:
Phone:
Fax: (optional)
Age:       Female     Male
Date of Previous Attendance at Chac-Mool (if applicable)
Type of class:
Occupation and where you work, or go to school:
Date to begin class:     Length of study:
Why do you want to learn Spanish?
Have you ever studied Spanish before? Please explain:
Interests:
History Politics Education Literature
Arts and Crafts Religion Mexican Traditions Mexican Music
Other?

COMPLETE IF YOU'D LIKE US TO ARRANGE HOUSING:
Date to begin housing:   Date you will depart:
What kind of living arrangements would you like?
With a host family, including 3 daily meals:
       Single Room with Private Bathroom $25
       Single Room with Shared Bathroom $23
       Shared Room with Private Bathroom $20 ea (2 traveling together)
       Shared Room with Shared Bathroom $18 ea (2 traveling together, or when the school assigns your roommate)

Guesthouse:
       Guesthouse Rental - no meals (check availability)
       Guesthouse Rental - with meals (check availability)

Do you smoke?
    No Yes Yes, but only outdoors
If staying with a family would you like vegetarian meals?
    No           Yes            No red meat - Tell us other requirements below
Other housing details (also time you plan to arrive at the home):
OTHER:
Private airport pick up? Yes (list flight details below, if known) No   Maybe
Your Questions or Comments:
How did you learn about us?
ie. who referred you; which search engine, magazine ad, etc.
Need college credit? Please list your home school:
EMERGENCY CONTACT NAME AND TELEPHONE:
SEND (We will email you a confirmation within 24 hrs.)
       

Spanish In Mexico

Instituto Chac-Mool Spanish Schools
Privada de la Pradera #108 Colonia Pradera
Cuernavaca, Morelos, Mexico 62170