- Our Mission -
To promote multi-cultural awareness and an appreciation of diversity through language.

 

Travel Immersion Registration

Costa Rica July 2008!

Dear Travelers,

SPACE IS STILL AVAILABLE!

We are excited to have you join us on the Family Learning Journey to Costa Rica in July 2008 (July12 - 20)! Please fill out the form below to let us know you are planning to participate in the Travel Immersion Journey to Costa Rica.

 

Which Language Immersion Journey are you registering for?
Student First Name:
Student Last Name:
Is this student a Child: Adult Child (under 18)
Note that if the traveler is under 18 years of age, either both parents must accompany the traveler, or at least one parent accompanies the child with a signed and notarized consent from the other parent. Other requirements may apply. Please also note that all travelers, regardless of age, must have a passport to travel, per US law.
Address:
City:
Zip:
Daytime Phone:
Evetime Phone:
Cell Phone:
Email Address:
 
Prior Spanish:
Years Spanish:
Please describe where you have learned the Spanish you currently know:
Where did you learn of Puentes?
What do you want to learn from this trip?
Current_Immunizations: Yes No Scheduled
Passport: Yes No In Progress
Airfare: Purchased
Not yet purchased
Reservations made
Please note that you will be required to sign a liability-release agreement and provide a non-refundable deposit prior to acceptance on this trip. Space is limited and will be filled on a first-come, first-served basis. When you click on the submit button, your registration information above will be sent to Puentes. You will be taken to a screen where you can pay the Travel Immersion Trip Deposit now via Credit Card, or you can choose to pay by check later. The deposit and full payment must be received prior to acceptance. Thank you!

 
 

 

 

 

 

 

 

 

  
     


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