Personal Data -
First:     Last:
Address1:
Address2:
City:   State:    Zip:
Telephone: Email:

Education -
Years of Completed Study  8 12 16 16+
 How many years have you studied Spanish?  1 2 3 4 4+
How would your rate your Spanish proficiency the following areas:
 Reading Beginner Intermediate Advanced Writing Beginner Intermediate Advanced   Speaking Beginner Intermediate Advanced

General Information -
Have you ever attended a language immersion program? N Y   Where? Mexico Other USA
School
Why do you need Spanish? Personal Work Volunteer
How often do you speak Spanish? Rarely Sometimes Always  
What is your profession? Business Person Medicine Religious Student Teacher Other

Program Information -
How  many weeks do you plan to attend classes at the Tlatoani Language School?  1 2 3 4 5 6 7 8
Select a start date   Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year 2007 2008   (Classes begin each Monday)

Are you taking this course for academic credit? N Y  
What School?
Contact Name:  Contact Tel:
Contact Email:

Would you like to be met at the airport by a representative of the school? N Y (If yes, please include the $75 with your registration fee.)

If available, would you prefer a room on site? N Y      Reply Code (if applicable) 

After submitting the registration form, our International Coordinator will contact you to verify your interest and confirm an available seat in the class. Once we receive your registration fee, your seat will be guaranteed and we will send you a placement exam to assist us in determining your level of entry into our language study program. If you are requesting a specialized training program, we will send you a questionnaire that you must fill out and return so that our staff can design a program that meets your specific need.

Disclaimer: The Tlatoani Language School and its agents, officers and directors shall not be held liable for any loss, injury, illness,  death of persons, damage, accident, expenses or delays arising from the use of any facilities, accommodations or services provided herein. In addition, neither is  the Tlatoani Language School, nor its agents, officers and directors liable for any loss, injury, illness,  death of persons, damage, accident, expenses or delays arising from acts of God, dangers incident to land, sea or air travel, fire,  breakdown of machinery or equipment, act of government or other authorities, wars, civil disturbances, strikes, riots, thefts, pilferage, epidemics, quarantines, changes of itinerary, weather, or from any act of omission of any individual, firm, or corporation furnishing any services, transportation or  accommodations in connection with the program(s) herein. We reserve the right to revise the advertised policies, prices and schedules whenever circumstances or other factors make this necessary or advisable.