Application Instructions: 1) Read this entire form completely 2) Copy & paste ENTIRE UNEDITED TEXT of this form into a new e-mail message... 3) Double-click on the blank lines and fill in the application as completely as you can 4) E-mail your application to info@granadanicaraguaspanish.com and print yourself a copy. 5) Wait to receive an e-mail confirmation of your application (includes full details of your program and the correct total to pay) 6) Make the reservation payment Notes: 2 or more registering together for the same program should use the GSL Group/Family Application.

Personal Information

Name: _________________________________________________

Address: ____________________________________________________________________

Phone: _____________________________ E-mail/Fax: ______________________________

Passport number/country: ___________________________________ Expires: _____________

Emergency Contact (name/address/phone): __________________________________________

Identification: Sex: _____ Age: _____ Height: ______ Weight: ______ Hair color: ______

Occupation or college major: ____________________________________________________

Level of Spanish speaking ability: ( )Beginner ( )Intermediate ( )Advanced

Years you have studied Spanish: ____ Speak other languages: __________________________

Dates you plan to attend:

___ weeks: Start date(Sun): _________ End date(Sat): _________

Basic Program Weekly Tuition: Monday-Friday morning classes & afternoon activities.

( ) 1 week @ $280 ( ) 2 weeks @ $560 ( ) 3 weeks @ $749 ( ) 4 weeks @ $973

( ) 5 weeks or more: ___ weeks x $230 each = $ _________

( )+Extra Individual Tutoring: ___ hours/day @ $7/hr x ___ days/wk x ___ weeks = $ _____

Tutoring school/dates: ______________________________________________________

Standard Program Weekly Tuition: Monday-Friday morning classes.

( ) 1 week @ $195 ( ) 2 weeks @ $390 ( ) 3 weeks @ $535 ( ) 4 weeks @ $695

( ) 5 weeks or more: ___ weeks x $175 each = $ _________

( )+Extra Individual Tutoring: ___ hours/day @ $7/hr x ___ days/wk x ___ weeks = $ _____

Tutoring school/dates: _____________________________________________________

Family Homestay Lodging:

( )Individual Family Homestay, Sun. to Sat., private room & meals: included in Basic/Standard Tuition.

( )Extra Homestay before/after program: ___ days x $15/day + ___ weeks x $85/week = $ ____

Extra Homestay school/dates:________________________________________________

( )No family homestay desired: ____ weeks x $60 = $ _______ <--- Subtract from tuition.

( )Special diet, homestay preferences: ______________________________________________

Professional/cultural/volunteer interests: _________________________________________

Airport to school transportation: ( )Yes ( )No To: Granada: $35

(Estimated) Arrival (date/time/airline/flight#): _________________________________
Send in complete information no later than one week before your arrival date.

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Tuition, Registration and Fee Payment

Basic/Standard tuition........................................+ $ ________

Extra individual tutoring.......................+ $ ________

Extra homestay....................+ $ ________

Subtraction for no homestay.............- $ ________

Full tuition amount................................................... = $ ________

Transportation to school fee........................................ + $ ________

Late payment fee ($25).............................................. +$ ________ <-- See payment policies

Reservation payment ........................................ - $ _______ <-- See registration and payment

Total amount due..................................................... = $ ________ <-- Pay directly in GSL school

Registration, Payment, Transportation, and Cancellation Policies

1. Registration: To register and reserve your place in the GSL program of your choice, please submit your GSL Application Form and make your reservation payment as early as is possible. Children under 18 must be accompanied by an GSL registered adult or submit the GSL Parental Agreement Form with their Application (via Fax only). GSL reservation fee pays for all processing and program administration and is non-refundable. Your registration continues valid for further GSL program services for 12 months after your program start date (the first day of services, lodging or classes).

2. Payment deadline and method: Registration Form and reservation payment must be received by 2 weeks before your program start date (For those who confirm the reservation by sending 20%, we will credit to you the cost of the transaction and will give you a 5% additional discount). If you miss the 2 week deadline, you can still pre-register and pay a few days late by including the late payment fee (there is additional $25) with your reservation payment. You can also register and pay anytime (space permitting) directly at GSL school. Direct registration in Nicaragua requires full payment in US cash in good physical condition only. It is best to register and pay for your program reservations 4 weeks or more in advance of your planned program start date.

3. Airport to school transportation service: Please notify GSL in writing of the date, time, airline and flight number for your arrival to Managua no later than one week before your arrival date. Late changes in arrival date or time may require an additional ($10) fee. Large objects such as surfboards are charged as additional passengers (US $5 extra). If your flight arrives late in the day (after 9:30 PM), may require an additional ($10) fee. // **Pick-up service is one-way only. Your return school-to-airport transportation is arranged directly in our school (GSL) at the end of your program.

4. Cancellation/Change/Refund policy:Reservation and late payment fees are non-refundable. Requests for program changes (Change to program dates made after the two week deadline ) are processed by cancellation and re-registration. We make refund for weekly programs not started only.

GSL Study-Travel Agreement

I understand the terms and policies of this contract as described above. I agree to not hold GSL, agents or employees liable for any injury or loss that I or my property may experience during the course of my travel or Spanish school program, activities or homestay. I am in good enough physical/mental/emotional health to adapt to the challenge of traveling and living in a foreign environment and culture. I agree to act with civility and consideration toward my fellow students and the native populations with which I will be in contact during the duration of my program and homestay.

Student signature: _______________________________________ Date: _______________
("Sign" by typing in your name to signify that you have read and understand the terms explained above.)

+ Parent signature: ______________________________________ Date: _______________
("Sign" here if student is under 18 -- also submit GSL Parental Agreement Form if unaccompanied.)

How did you hear about GSL? _____________________________________________

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