Spanish classes for high school students Costa Rica, Programs for teenagers in Costa Rica, Spanish immersion programs for high school students

ENROLLMENT FORM

Documents needed to enroll:

I. Personal Information

First name:

Last name:

Birth date:

Nationality:

Gender

Zip Code:

Address:

Country:

State/Province

City

Phone:

Fax:

Passport #:

Electronic email:

II.Arrival Information

Arrival date:

Time:

Airline:

Flight #:

Departing date:

Time:

Airline:

Flight #:

Contact in case of emergency;

Medical concerns:

Add info:

III. Other Information

Spanish level:

Other languages spoken:

How did you find out about COSI?:	Other Information:

Telephone: +506 2234-1001 Fax: +506 2253-2117 From the USA: 1-800-771-5184	COSI: Costa Rica Spanish Institute P.O.Box: 1366-2050 San Pedro, San José Costa Rica
www.summercampcostarica.com	office@cosi.co.cr