* Required item    
** Confirmation of purchase of the AVI insurance
     
I wish to apply for the “CPI Soccer 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:*
Cell Phone Number:*
   
FATHER  
Name:
House phone:
Work phone:
Cell Phone Number:
   
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.