Enrolment form of International House Valladolid.
VOLVER --->
BOOK A COURSE
1. PERSONAL INFORMATION
Es obligatorio llenar los campos marcados con un *.
Name
*
Surname
*
Nationality
Profession
Date of birth
Nš Passport
Telephone
Fax
E-mail
*
Address
Zip code
City
Country
... Please, reserve me a place on the following courses:
A
| B
| C
| D
| E
| HIGH SCHOOL
... My level of Spanish is:
Beginner
| Elementary
| Lower-Intermediate
| Intermediate
Intermediate-Advanced
| Advanced
| Superior
2. ACCOMODATION
I require accomodation provided by IH:
Yes
|
No
From:
To:
Residence
| Family
Half-Board
| Full board
| Other
Please specify:
3. ARRIVAL DETAILS
City
Flight company
Flight number
Arrival time
Train
Station
Arrival time
Other
Arrival date
Transfer sought
Yes
|
No
4. HEALTH
Do you suffer allergies or other medical problems?
Yes
|
No
If so, please specify:
Do you smoke?
Yes
|
No
Special dietary needs?
Yes
|
No
If so, please specify:
I hereby authorise IH to take the appropiate action in case of medical emergency, and I hereby undertake to pay my medical expenses.
5. METHODS OF PAYMENT
I have read and accepted the conditions set out in this brochure. I hereby undertake to pay my expenses for teaching (and accomodation). Enclosed please find 200 € deposit.
Cash
Certified Cheque or International Money Order
Bank transfer to
INTERNATIONAL HOUSE VALLADOLID - CALIFORNIA SCHOOL, S.L.U.
BANK: Caja Espaņa
ACCOUNT #: ES97-2096-0189-0330-44395204
SWIFT: CSPAES2L
ADDRESS: c/ Manuel Silvela #5, 47014 Valladolid, SPAIN
Through Agent or School representative.
General condittions and how to book a coourse
Please note, that ALL fields with
*
are required.
IH Valladolid and Santander are Members of the International House World Organization, Home of Quality Language Teachers since 1953
Copyright © 2007 International House Valladolid y Santander / California School S.L.U.
B-47405469 Fernández de Isla 29 bajo 39008 - Santander - Spain (ESPAÑA)