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Manuel Antonio

Bocas Del Toro

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Home >> Application
    Which location are you applying to:
     
    Personal Information
    *Last Name *First Name
    Address City
    *Country Passport Number
    Date of Birth Profession
    Gender Male  Female
     
    Contact Information
    *Phone (work) *Phone (home)
    Fax *E-mail
     
    About You
    Nationality Native Language
    Foreign Languages Hobbies / Interests
     
    Emergency Information
    Name, address and phone number of emergency contact:
    Medical Concerns (Please specify):
     
    Course Information
    Existing knowledge of Spanish:
    Select Course:
    Choose Program: Spanish only
    Spanish and Adventure
    Spanish and Dance
    Spanish and Surf
    • Number of 2 hr surf lessons
      (for Panama only)
    • Number of 5 hr surf lessons
      (for Panama only)
    Spanish and Scuba Dive
    • What diving do you wish todo?
    Spanish and Volunteer
    • What volunteer work do you wish to do?
    Number of weeks would you like to study?
    Course starting date:
    (Always starts on Monday)
     
     
    Housing selection (Costa Rica)
    Homestay Preferences
  • Would you be fine if another student stays at the same host family?
  • Yes   No
  • Would you be fine if there are children at the host family's house?
  • Yes   No
  • Would you be fine if any of the family members smoke?
  • Yes   No
  • Would you be fine if there are pets at the homestay family's house?
  • Yes   No
     
    Other Accommodations
  • School student apartment (Cabina)
  • Yes   No
     
    Housing selection (Panama)
  • Homestay Family/ Family Hospedaje
  • Yes   No
  • School
  • Yes   No
    Homestay Family/Family Hospedaje Preferences
  • Would you be fine if another student stays at the same host family?
  • Yes   No
  • Would you be fine if there are children at the host family's house?
  • Yes   No
  • Would you be fine if any of the family members smoke?
  • Yes   No
  • Would you be fine if there are pets at the homestay family's house?
  • Yes   No
    Miscellaneous Information
    Please tell us your comments or special requests:
     
    How did you find out about El Paraiso School?
     
    Travel Information
    For Costa Rica Students Only

    San Jose Airport Arrival Information (Pick up not included in price)
    Arrival Date:  
    Time: Flight #: Airline:

    For Panama Students Only

    Bocas del Toro Airport Arrival Information (Free pickup)
    Arrival Date:  
    Time: Flight #: Airline:

     
    General Terms and Conditions:

    I agree to the general terms and conditions

    If this form is not working please contact us at escuela@elparaisoschool.com


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    Costa Rica El Paraiso Spanish School
    Quepos, Costa Rica
    Panama El Paraiso Spanish School & Cabinas
    Canada Contact
    Email escuela@elparaisoschool.com
    Website www.elparaisoschool.com