ENROLLMENT CEICA-PERU

	Spanish School

In order to register for lessons in Ceica-Peru Spanish School each student must submit the enrolment form that appears below and a one time (non-refundable) 20 Euros registration fee. This fee guarantees your enrolment in Ceica-Peru Spanish School. This fee is not part of your tuition, which you will pay upon arrival. You may pay your tuition in US Dollars or Soles.
Personal Details
Last Name
First Name
Address
Telephone Number		Fax
Nationality		Date of Birth
Sex	Male Female	Married	Yes No
Ocupation
E-mail
Application
Clases	10 hours per week
	20 hours per week
	Other
Accomodation	Single Room with breakfast		Double room with with breakfast
	Single room with half board		Double room with half board
	Single room with full board		Double room with full board
Are you interested in special courses or activities?
Cooking lessons Dancing lessons Quechua lessons		Peruvian History Peruvian Literature Commercial Correspondence
Learning Spanish
How long have you studied Spanish?
Present level of Spanish
When will you come to Arequipa?
Course should start (date)		How long will you stay
From
to
Would you like to be picked up from the airport at Arequipa?
Yes No		Date
		Time
		Flight Number
In case of emergency contact:
Name
Address
Telephone Number
How did you hear about Ceica Peru Spanish School ?

In case choose "Others", please especify:

Registration Fee
When your enrolment form and fee have been received, you will receive an email confirmation of your reservation at the school. Your enrolment form must be accompanied by the registration fee.

Ceica Peru Spanish School
Spanish in Arequipa, Peru		Urbanización Universitaria, G-9, Cercado
Intensive Spanish Courses		Tels. (00 51 54) 221165 / 231759
Volunteer in Peru		Arequipa - Perú

When your enrolment form and fee have been received, you will receive an email confirmation of your reservation at the school. Your enrolment form must be accompanied by the registration fee.