* Required item    
** Confirmation of purchase of the AVI insurance
     
I wish to apply for the “CPI Football Camp”

 


Name:*

Personal Information

Tell us about yourself

Only one person per application!

Gender:*
Age:*
Nationality:
What is your native Language?
Health Status/Allergies:

Mailing Address:*

Your Address

City:*
State:*
Country:
Zip Code:
Phone:*
E-Mail:*

MOTHER  

Parental Information

 

Please include the full contact information of at least one of your parents.

Name:
House phone:
Work phone:
FATHER  
Name:
House phone:
Work phone:
EMERGENCY CONTACT  
Choose your emergency contact:

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 Saturday and you have to depart on the Saturday after the last day of classes.


** Confirmation of purchase of the AVI insurance
* Required item    
     

Before submitting your application please check that you have filled it in correctly.


 

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