BSL Bariloche Spanish Lessons - Spanish School in Bariloche

Personal Information:

Name*

Surname*

Age*

Nationality*

Profession

Male

Female

E-mail*

Re-type e-mail (please!)*

Skype or MSN

Street
address

City / state

Country

* obligatory fields

If you are already in Bariloche

You are staying at...		Phone number to contact you...

Course Programme* (choose an option)

Private

Private
15 hs. per week

Private Light
10 hs. per week

hours per day

weeks

weeks

weeks

Semi-Private
20 hs. per week

Semi-Private Light
15 hs. per week

weeks

Please, complete your classmate's information

Name and Surname

Group Classes
20 hs. per week

Group Classes
15 hs. per week

weeks

weeks

Super Intensive
30 hs. per week

weeks

Course type*		Course level
	Standard		Basics	¿How long have you studied Spanish?
	Familiar		Inicial
	Special program		Intermediate
	About		Advanced

	Location
		School		Hotel / Hostel / Cabins Name

	Start date*
	(group classes start every monday)	Comments:
	Programme Length:	days / weeks

Accommodation

	Homestay
	Private Appartment
	Shared Appartment
	Other

Date in

Date out

Airport / Bus Terminal Transfer

Out

Extra Activites Preference

	Tango
	Gliding
	Biking

	Ski
	Kayaking
	Horse riding

	Rafting
	Trekking

¿Another activity?

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	Please write the security code:

3977 Pioneros Ave - San Carlos de Bariloche - Patagonia Argentina
Tel. From Abroad: +54 2944 521427 / 9 2944 - 696086 -- From Argentina: 02944 - 521427 / 15 696086
Skype: barilochespanishlessons

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