Family Spanish Immersion Travel Registration

You are going to LOVE this trip!

Mom and daughter on family Spanish Immersion in Costa Rica

Notes about this family Spanish immersion travel registration:

Have your passports* and emergency contact information handy to complete this program registration.
If, for some reason you have not made your program deposit yet, please make that deposit now (this deposit applies to your immersion program fee). Your space on the program is not reserved until you make your deposit.
Once you’ve completed this registration and your initial deposit, you will receive access to our online pre-departure course with tons of necessary information about your trip, a few travel contracts to sign, and a payment schedule for the balance of your program.

Family Spanish Immersion Travel Registration

Please fill out this application in its entirety and submit. If you can't get it all done at once, you can save it and come back to it later.

How did you hear about this program?*
Program Location*
Choose your immersion program location from the following location options. **If you plan to switch locations from week to week, you may select more than one of the following. If you will stay in one location, please choose only one.
- Cuenca, Ecuador
- Santo Domingo, Costa Rica
How Many Class Hours Per week?*
In the Family Immersion Program you have the option to attend classes 2hrs/day = 10hrs/week, 3hrs/day = 15hrs/week, or 4hrs/day = 20hrs/week. 4 is definitely doable for little ones... they get lots of activity and movement :). Which fits your family plans best?
- 20hrs/week
- 15hrs/week
- 10hrs/week
Will all participants take the same amount of class hours per week?
- Yes
- No
Please provide details
Please specify in case a participant won't be taking the classes, or will take a different amount of class hours than the rest of the family, or targeted specific classes (like Medical Spanish, or Spanish for educators).
Start Date (usually a Saturday)*
"On Program" start dates for sum '24 & win '25 are: Ecuador (6/15/24 & 6/22/24), Costa Rica (6/29/24, 7/3/24 & 2/1/25)
MM slash DD slash YYYY
End Date (usually a Saturday)*
MM slash DD slash YYYY
Parent / Guardian 1
Parent / Guardian 1*
First Last
Date of Birth*
MM
DD
YYYY
Gender Identity*
Thanks for being a family participant! We'd like to give you an immersion T-Shirt 🙂
Please select your size. These are standard unisex T-Shirts... and they fit pretty true to size.
- XS
- S
- M
- L
- XL
Passport #*
Passport Expiration Date*
Please enter this date as it is on your passport: Month, Day, Year
MM
DD
YYYY
Home Phone*
Cell Phone*
Email*
Please provide an email address that you check regularly. Program updates and documents will come to you primarily via this email address.
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Is a second Parent/Guardian traveling as well?*
- Yes
- No
Parent / Guardian 2
Parent / Guardian 2
First Last
Date of Birth
Month
Day
Year
Gender Identity*
Parent 2/guardian free t-shirt!
Please select your size. These are standard unisex T-Shirts... and they fit pretty true to size.
- XS
- S
- M
- L
- XL
Passport #
Passport Expiration Date
Please enter this date as it is on your passport: Month, Day, Year
MM
DD
YYYY
Cell Phone
Email
Please provide an email address that you check regularly. Program updates and documents will come to you primarily via this email address.
Children
Please list each of the children traveling with you:*
For travel insurance reasons, we need a unique email address for everyone traveling since everyone is insured individually and policies are issued to unique emails. Thanks
First & Last Name Gender Date of Birth Email address Passport # & Expiration Date Allergies (Food & Other) T-Shirt Size
Emergency Contact Information
Full Name*
Relation to Family*
Email*
Cell Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Is/are your passports issued by the United States of America?*
- Yes
- No
Health Information
Health Conditions
Please list and describe all health conditions that you have. This information is kept extremely confidential, but is useful in case of emergency.
Allergies
Please list any and all allergies to food, insects, medications, etc - Your host family needs to know this information.
Special Dietary Needs
Please list any and all special food requirements that you have as a family - this is also very important for the host families.
Host Family Information
Is anyone traveling on this program a smoker?*
- Yes
- No
Do you prefer a family with or without children?*
- With Children
- Without Children
- Doesn't matter
Do you need any special accommodations at your host family?*
Spanish Language Experience
Please note the Spanish language experience of each person traveling with you:*
Descriptions like below are just fine:
Beginning
Intermediate
Advanced
First & Last Name Reading Ability Writing Ability Listening Ability Speaking Ability
What is your current language ability and experience with Spanish?
Please give a short description of each family member's experience with the Spanish language, or let us know in case you don't have any experience.
What should we know about your children's learning styles to best work with them while on immersion?*
Please include number of years of Spanish in high school, college, or any related foreign travel, etc.
Please explain your top 3 goals for your family on this trip*
You can include more if you like - no problem!
Where would you like to go on your weekend(s)?*
We'll be glad to assist you in choosing a great spot for your family to enjoy the weekends that you have.
What else should we know about your family to best assist you?*

Family Spanish Immersion Travel Registration

You are going to LOVE this trip!

Notes about this family Spanish immersion travel registration:

Family Spanish Immersion Travel Registration

Parent / Guardian 1

Parent / Guardian 2

Children

Emergency Contact Information

Health Information

Host Family Information

Spanish Language Experience

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Product categories

First & Last Name	Gender	Date of Birth	Email address	Passport # & Expiration Date	Allergies (Food & Other)	T-Shirt Size

First & Last Name	Reading Ability	Writing Ability	Listening Ability	Speaking Ability