Application for couples

Please complete the following information.  We will respond via email in a lapse of 24 hours with an exact current price and the availability of our classes.

Personal Information

All Required

Man name:                                Age         Sex     Vegetarian?:                Country  Passport  #        E-mail:                         We use email to communicate with you, so, please be sure it is correct                                                                                                       Profession:                                           Languages:                                 Spanish level:

 
Girl name:                                  Age         Sex     Vegetarian?:                Country  Passport  #        E-mail:             Profession:                                           Languages:                                  Spanish level:

 

Mutual Information

Home Address  Emergency Contact Phone #    

         

Please Select a Program

                                                      Arrival date   End date                                 Total Weeks (Sun-Sat): Additional days        

                       

Optional Services
Dariana Spanish School will answer any questions you may have and email them to you. 

Printed copies of this application form cannot be accepted.

Preferences or interests (Very important)            

How did you know about us? 

The full payment of the program should be done when you arrive to the school and sign this registration form or in the first day of classes.

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The only Spanish School in Leon Nicaragua, owned & operated by Nicaraguan educators!!!
Method of payment

Wire transfer: If you choose this option please contact us and we will email you our banking information.