REGISTRATION FORM
Please complete this form in order to register for one of our courses.
Print and send it together with a photocopy of the registration fee receipt as proof of payment .
Surname Name
Address City
Zip Code State
Country Nationality
Home Tel Work Tel
Fax E-mail
Sex

Male Female

Date of Birth
Mother Tongue Do you speak other languages

Yes No

If Yes, Which ones Knowledge of Spanish
Occupation
Is this your first programme abroad? Yes No
Person to contact in case of emergency
Emergency contact number

PROGRAMME

Please, check page: Schedules and Fees.
I wish to register for the course
Type of Programme
Information you would like us to ask about the Programme.
ACCOMMODATION
Apartment Other. Please Specify.

Family / Double - room
Family / Single - room
Information you would like us to know when finding you a family.

Starting Date Finish Date

TRAVEL INFORMATION
This information is not necessary just now. We will, however, need your arrival time before the first day of your course
Arrival Date Arrival Time
Airline Flight Number
Airport Airport Pick up Yes No
Other form of transportation:
Arrival Date Pick up Yes No
Method of paying the registration fee:
I send a copy by:

Donīt forget to send a receipt for the registration, but remember to keep the original copy of payment for yourself.


For any questions:
Delta Language School
Juan de Herrera, 19
39002 Santander
Cantabria - SPAIN
Phone: ++ 34 942 036 886
Fax: ++ 34 942 039 412
E-mail: info@deltalang.com

 

 


| Home | Santander | The School | Program | Schedule $ Fees | Enrollments |