Retirement Travel Program - Registration Form

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I wish to apply for the "Retirement Travel":*

Select Your Session

Check the session you want to attend

Last session of 2017 Heredia/Monteverde: November 5th – 19th, 2017
Session #1 Heredia/Flamingo: January 14th - 28th, 2018
Session #2 Monteverde/Flamingo: February 11th - 25th, 2018
Session #3 Heredia/Monteverde: March 4th - 18th, 2018

Name:*

Personal Information

Tell us about yourself

Only one person per application!

Gender:*

Birthday:*

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


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 Sunday after the last day of classes.

Departure tax: Starting in 2015 some airlines have arranged with the Costa Rican government to include the exit tax in the cost of the plane ticket. We recommend you consult with your airline to determine if this is the current arrangement or whether you need to follow the traditional procedure and purchase the exit tax on departure day.

 

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© 2017 Centro Panamericano de Idiomas