Application Form.

Instructions:
 

1. Copy & paste the ENTIRE text of this application into a new e-mail message
2. Double-click on the blank lines and fill in the application.
3. E-mail your application to escuelaplayasdelsur@yahoo.com
4. Print yourself a copy of the application for your records.
5. You will receive an e-mail confirmation of your application within 2 days. (Confirmation will include full details of your program and the correct amount to pay and how to make payment.)
    

Name: _________________________________________________

Address:________________________________________________________________

Phone: _____________________________

E-mail/Fax: ______________________________

Passport number/country: ___________________________________

Expiration Date: _____________

Emergency Contact (name, address, phone): _________________________________________

Identification: Sex _____ Age _____

Occupation or college major: ____________________________________________________

Level of Spanish speaking ability: ( )Beginner ( )Intermediate ( )Advanced

Years you have studied Spanish: ____

Fluency in which languages: __________________________

Dates you would like to attend:
1. ____week(s): Start date(Sun) _________ End date(Sat) ________
2. ____week(s): Start date(Sun) _________ End date(Sat) _________
3. ____week(s): Start date(Sun) _________ End date(Sat) _________

Program weeks you plan to study:
( ) 1 week x $ =$_____
( ) 2 weeks x $ =$_____
( ) 3 weeks x $ =$_____
( ) 4 weeks x $ =$_____
Additional ___ weeks x $200 each = $ _________

( ) Tutoring: ___ hours/day @$6/hr x ___ days/wk x ___ weeks = $ _____

Program Homestay:
( )Individual Family Homestay, Sun. to Sat. (private room and 3 meals per day, Sunday through Saturday is included in tuition.)

( )No family homestay desired: ____ weeks x $55 = $ _______ <--- Subtract from tuition.
( )Special dietary requirements? _____________________________________________

Professional/cultural/volunteer interests?: ________________________________________

Transportation Service: ( )Yes ( )No $

(Estimated) arrival (date/time/airline/flight#): _________________________________

Tuition, Registration and Fee Payment.
Tuition + $ ________
Tutoring + $ ________
Extra homestay + $ ________
Shared homestay - $___________
No homestay - $ ________
Full tuition amount due = $ ________
Transportation fee + $ ________
Registration fee ($15) + $ ________
Wire transfer payment fee ($35) + $ ________ (Payment Process)
Total amount due $ ________

How did you hear about Playas del Sur Spanish School? _____________________________________________
 

Registration, payment, transportation and cancellation policies.

1. Registration: To register and reserve your place in the Playas del Sur Spanish program submit your application form and full payment as early as possible. Children under 12 must be accompanied by a registered adult or submit the parental consent form with their application. Registration fee is non-refundable.
2. Payment deadline and method: Full payment is due no later than two weeks before your program's start date (the first day of homestay or class). Payment can be made to Playas del Sur by U.S. check or bank check, or bank wire transfer (add $35 fee). Program dates are only guaranteed with full pre-payment.
3. Transportation service: Notify the school in writing of the date, time, airline and flight number of your arrival to Managua no later than one week or 3 days before your arrival date. Large objects such as surfboards will be charged an additional of US $5. If you are arriving on a late flight, or your flight has been delayed, we can pick you up. This is not included in your program cost and will need to be paid by you.
4. Cancellation and Refund Policy: All requests for cancellations must be submitted in writing or via e-mail and must be received by Playas del Sur Spanish School by the applicable deadline to be eligible for a the complete or 50% refund. A refund may take up to 4 weeks to be processed. Please let the school know about any change of plans as soon as possible.