Spanish Online Form by j.batres Name & Last Name *Date of Birth *Sex: *MaleFemaleOtherPhone *Email Address *Emergency Phone & Name *Street Address *Apartment, suite, etc *City *State/Province *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePassport # & Nationality *Interests / HobbiesGoogle Meet or Zoom AccountDate you wish tot take ClassesSpanish LevelSpanish LevelBeginner-BeginnerBeginner-IntermediateBeginner-AdvancedIntermediate-BeginnerIntermediate-IntermediateIntermediate-AdvancedAdvanced-BeginnerAdvanced-IntermediateAdvanced-AdvancedNative LanguageHave you studied Spanish?YesNoIf yes, Where? How Long?When do you want to start your classes?How many hours do you want to study?The focus of your Studies will bePersonal InterestCsetTexasOPIDELESAT II SpanishSpanish for BusinessSpanish for ChildrenSpanish for Health Care ProfessionalsSpanish for EducatorsMedical SpanishOtherIf checked othersPlease send check to Casa Xelaju, 4701 Zenith Ave. S., Minneapolis MN 55410. Tuition per hour is $14 per regular Spanish and $16.00 per hour for test preparation.Paste you code for a special promotion hereComments and suggestions would be appreciatedTerms and Conditions1. Upon successful payment to Casa Xelaju for Skype classes, you are bound to the following contract: A. Cancellation policy I. Classes must be cancelled at least 12 hours before the arranged class time. II. Cancellations made at least 12 hours before the arranged class time will receive a full refund for the class and reschedule. III. ‘Late Notice Cancellations,’ or cancellations made within 12 hours of the class will not be refunded. IV. After two consecutive Late Notice Cancellations, Casa Xelajú reserves the right to cancel the contract and deny a refund. V. Cancellation is only effective after a confirmation of cancellation. From the staff at Casa Xelajú B. Class duration I. Classes last one hour, unless otherwise arranged by the student and the administration at Casa Xelajú II. Students should be connected to Skype at their scheduled time. 1. Casa Xelajú is not responsible for tardiness by the student. 2. If the student is not connected at their schedule time, the class will still end at the originally scheduled end time. – if a student is 20 minutes late, the class will only last 40 minutes. III. Casa Xelajú reserves the right to cancel a contract for repeated lateness *I've read terms and conditionsSend Message
