SIGN UP NOW!  International Language Summer Camp - June 30th thru August 3rd, 2013

Name

Surname

Gender: M F

Address

Postal Code

City

State

Country

Telephone

E-mail

Passport Number

School

Birth Date (DD/MM/YYYY)

Lacunza-IH student? no yes

Shirt size (y=youth, a=adult) y-S   y-M   y-L   a-S   a-M   a-L

Tutor´s name

Tutor´s surname

Tutor´s passport number

Tutor´s telephone

Language to learn choose one spanish english

Language level choose one beginner elementary intermediate advanced

Type of course choose one half day day camp overnight

Number of weeks choose one 2 weeks 3 weeks 4 weeks 5 weeks

Course date from (DD/MM/YYYY)

Course date to (DD/MM/YYYY)

Hire daily bus: no yes

morning noon afternoon

Choose your stop: Plaza de Guipúzcoa     Pío XII     El Antiguo

Transfer airport-campus
starting at 30 €   (view prices) no yes

Arrival date (DD/MM/YYYY)

Arrival place choose one San Sebastián Bilbao Biarritz

Flight number

Arrival time

Transfer campus-airport
starting at 30 €   (view prices) no yes

Departure Date (DD/MM/YYYY)

Departure place choose one San Sebastián Bilbao Biarritz

Flight number

Departure Date (DD/MM/YYYY)

Cancellation insurance:
15 € no yes

Extra:     Surf lesson, 5 Hours (85€)   Surf lesson, 8 Hours (135€)

Breakfast service (26€/Week):     2 weeks   3 weeks   4 weeks   5 weeks

Lunch/Dinner service (77€/Week):     2 weeks   3 weeks   4 weeks   5 weeks

Extra night in residency. Full board (65€)    

Extra activity + Meal - Monday to Friday-(25 €)    

Excursion fin de semaine + Alimentaire (35 €)    

Payment Options:     Complete   Deposit € 250