Registration Form  

 

PERSONAL INFORMATION:
Name:			Birthday:
Ocupation:			Gender: Female Male
PERMANENT ADDRESS
Street:			City:
State or province:			Zip:
Country:
Telephone:	Home:	Work:	Fax:
E-mail:
EMERGENCY CONTACT
Name:			Phone:
Date you wish to begin classes:		Date you wish to end classes:
San Miguel Address:		Phone in San Miguel:
LANGUAGE BACKGROUND
Native Language:
Conversational use of Spanish language:		None Poor Fair Good
OTHER LANGUAGES YOU SPEAK:
PREVIOUS SPANISH STUDIES: HOW LONG, WHEN, AND WHERE:

To Guarantee Placement in our School a Deposit of $200 US is required.
Tuition Balance is required on or before your first day of classes.

To register and secure your place please print and submit the enrollment form along with your personal check.

If you have any questions please feel free to call us.
From the US: 011-52-415-152-5400

Please make your Personal Check payable to Sara Hernandez Murillo.
and mail it together with the above form to one of the following addresses:

Tel: (415) 152 5400
E-mail: centrobilingue@yahoo.com
www.centrobilingue.com