Registration form of La Montaña which you can use to make a pre-booking

Spanish School La Montaña
Elflein 251 - CP: 8400
San Carlos de Bariloche
Patagonia, Argentina
Tel: +54 (2944) 524212
www.lamontana.com

Acreditado por:

Registration Form

Use this form if you wish to pre-book one of the programs or courses we offer. Or if you prefer you can fill out the form in word format and attach it to an email sent to us.

Personal - First Person

First Name:

Surname:

Street address:

City:

Email:

Re-type Email:

Gender:

Male

Female

Country:

Date of Birth:

Profession:

Personal - Second Person (Optional)

First Name:

Surname:

Street address:

City:

Email:

Gender:

Male

Female

Country:

Date of Birth:

Profession:

Booking

Starting Date :

Our Programs:

(this includes every week group course, first week hostel, all the other weeks homestay, airport pick-up and drop-off)

Standard Course:

20 hours of small group classes

Intensive Course:

20 hours of small group classes + 10 hours private classes

Private Course:

Homestay:

Hostel:

Airport pick-up / drop-off:

Not Required

Required

Course Information

Current spanish level:

Previous courses (if any):

For how long did you study?:

Other experience
(conversation / grammer / etc):

Arrival - Departure(if pick-up/drop-off required)

Arrival date:

Airport / Bus Terminal:

Company < No:

Departure date:

Airport / Bus Terminal:

Company < No:

Lodgings (if required)

Hostel

Date in:

Date out:

Family Stay

Date in:

Date out:

For family-stay, please indicate if you have any preferences (for example: vegetarian, staying together in a family,etc)

Volunteer Work

I am interested

Yes

Comments and Observations

Please do not hesitate to contact us for more information or to reserve your place today.