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I wish to apply for the “Retirement Travel”:*

Select Your Session

Check the session you want to attend
 
Session #1 Heredia/Monteverde  Feb. 1st 2009
 
Session #2 Heredia/Flamingo - March 1st 2009
Name:*

Personal Information

Tell us about yourself

Only one person per application!
Gender:*
Age:*
Nationality:
What is your native Language?
Health Status/Allergies:
Mailing Address:*

Your Address
City:*
State:*
Country:
Zip Code:
Phone:*
Cell Phone Number:*
E-Mail:*
Emergency contact:

Emergency Contact

Please include the full contact information

I have completed the AVI travel/medical insurance form
Have you studied at a language school before? (If so, where?):

Educational Information
Describe your ability to understand and speak Spanish:
You have any special host family requests:

Accommodation Information
Arrival date:

Arrival Information
Arrival time:
Airline:
Flight number:
*Departure city:

*Please tell us your connecting flight details INTO San José.

Remember you must arrive on a Sunday and you have to depart on the Saturday after the last day of classes.
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Before submitting your application please check that you have filled it in correctly.