Application form

If you wish to take a course at EUREKA, please send us your application form.

Mr. | Ms. | Mrs.

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Last name(*)

You have to indicate a last name

City(*)

You have to indicate your city

State

You have to indicate your state

First name(*)

You have to indicate a first name

Date of birth(*)

You have to indicate your date of birth

Adress(*)

You have to indicate your adress

Postal Code(*)

You have to indicate your postal code

Country(*)

You have to indicate your country

Document type(*)

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Document Country:(*)

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Passport / Identity Document Number(*)

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Telephone(*)

You have to indicate a telephone

Email(*)

You have to indicate a correct email

Comments

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1 - Choose your course

(*)

You have to select a type of course

2 - Choose your Spanish level

(*)

You have to select your level

3 - Preferred dates of courses

From:(*)

You have to indicate when you want to begin the course

To:(*)

You have to indicate when your course should end

4 - Choose your accomodation

(Accommodation is offered only to students who participate in an Intensive course,

a Combined course, a One to One course or a Senior course (50 +)

(*)

You have to choose a type of accomodation

From:

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To:

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5 - Mark your preferred options

Cultural program and activities

Airport transfer - (What is the airport transfer?)

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6 - Other courses

(*)

I don't need other courses

Cooking course

Dance course

You have to indicate if you prefer an other course

7 - Extras

Medical Insurance (only for groups) - (What is the medical insurance?)

Cancellation Insurance - (What is the cancellation insurance?

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8 - Special needs:

(*)

NoYes Indicate if you have any kind needs that the school should know

Comments

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9 - Method of payment

(*)

Bank transfer / VISA

Cash, the first day of your class

You have to choose a method of payment

10 - General conditions

(*)

Yes, I accept the General Conditions and Legal Information.

You have to read and accept the general conditions