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*Your name: |
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*Your family name: |
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*Your age |
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*Birth date (dd/mm/year) |
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*Sex |
Male
Female |
*Passport Number |
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*Exp. Date (dd/mm/year) |
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Studies |
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*Profession |
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*Address |
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*City |
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*ZIP/Postcode |
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*Country |
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*Your phone (country code, prefix, phone, without spaces) |
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Your email: |
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*Personal hobbies |
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| Emergency Contact (Contact person, relationship, address, telephone, and email in your country in case of notifications during the study abroad in Spain.)* |
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| **All your personal details included in this form are for the exclusive use of ZADOR, School of Spanish and for the arrangement and charge of the services selected by the student (course, accommodation, activities, transfer, insurance, etc.). |
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*City |
Alicante
Vitoria |
*Number of weeks
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*Spanish Course |
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Other Kind of Course |
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*Spanish level (From level 1 to 10, being 10 the higher) |
Level
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*Mother tongue |
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Other languages |
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*How long have you been studying Spanish |
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*Kind of accommodation |
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Other accommodation |
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*Arrival date |
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*Departure date |
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Number of nights |
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Do you smoke? |
Yes
No |
| If you have any allergies, illnesses, or if you need a special diet, and you think you have to specify them, please write them in the box. If not, write "None". * |
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| If you have selected the accommodation in a family or in a shared flat, you are expected to arrive on the Sunday before the beginning of the course and to leave on the Saturday after the end of the course. If you want to extend your stay before or after the course, consult the possibility of extra nights in a family or in a shared flat, or select your accommodation in a hotel. Zador will reserve a maximum of 7 days before the course and a maximum of 7 days after the course, and only for the city in which you are attending the course. |
| Are there any other habits you have that should be taken into account for your accommodation? |
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Extra nights before |
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Extra nights after |
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Are you travelling with a companion? |
Yes
No |
Same accommodation? |
Yes
No |
Companion's Name |
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*Do you want optional activities |
Yes
No |
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| *Insurance |
Yes
No |
| *Cancellation Insurance |
Yes
No |
| *Transfer |
Yes
No |
| Transfer from Alicante or Vitoria |
Train station
Airport
Bus
Other place
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Arrival date |
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Arrival place |
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Coming from |
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Flight Nº |
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Time |
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Departure date |
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Departure place |
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Going to |
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Flight Nº |
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Time |
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| To make the reservation, payment of the deposit is required (€150), which will be deducted from the total price. An enrolment is not valid until the payment of this amount is received. Please, indicate the method of payment.(Bank transfer, Credit Card, Cashier Cheque)* |
| *Deposit Payment |
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| *Total payment: |
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| How would you prefer
to be contacted? |
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By Email
By Phone |
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| Additional Message: |
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By sending this form, I acknowledge that I have read and understood, and I accept the terms and conditions of enrolment stated above and I guarantee that all the information included in this form is true.
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| Security: Please enter the characters you see: |
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