Calle Teruel 41, Esc. 1, Bajo B
28020 Madrid, Spain
Tel: +34 91 5466605

learnspanish@livespanish.com
 

ENROLLMENT FORM

Please print, fill out, scan (or take a photo of the form with a smart phone) and email us the form.

ENROLLMENT FORM

PERSONAL INFORMATION

Name:  Surname: 

Address

Nationality: Sex Marital status)

Telephone (with codes) Skype ID

Cell/Mobile email Occupation

Hobbies and interests   Age

Do you smoke? Special diet? Allergies or special medication: 

How did you hear about Live Spanish?  

COURSE INFORMATION

What are your main expectations of the course?

How many hours per week do you wish to study? 15 20 25:

ONE-ON-ONEPARTNERS OPTION  

My level is ElementaryLower IntermediateIntermediate)
Upper Intermediate) Advanced

DATES OF STAY

(Sunday through Saturday). Please give 3 choices of dates, if possible, in order of preference

1.  Arrival Departure:

2.  Arrival:  Departure:

3.  Arrival   Departure

 I will require airport transfer

DECLARATION

1. I agree to pay the 100 registration fee with this application and the remaining fees either by bank transfer prior to my 
arrival or in cash upon arrival..
2. Fees will be paid in Euros
3. I understand that no money can be refunded for any reason.
4. I accept the prices and conditions on this form.
5. I affirm that I am not suffering from any infectious illnesses. 

I agree to the conditions

Additional comments, special needs:

Signature: Date: