On-line registration

Fill this form to pre-register and we will contact you shortly to finalize your inscription.
Thank you for your trust!

Student Personal Information

 




 

Identity documents

 

Parent’s contact details (if under 18 years old)

 



 

Relationship to student (parent, guardian, agent ...)

Some comments about the student

 

What choice of accommodation and course are you interested in?

 Santa Maria del Collell Figueres Both

Level of Spanish

Have you visited Spain before?  Yes No

Can you swim?  Yes No

Do you smoke?  Yes No

Do you have any special diet needs?

Hobbies and interests:

Only for students with homestay in Figueres:

Would you like a family with pets?  Yes No indifferent

Would you like a family with sons / daughters?  Yes No indifferent

Brief medical history

 

Asthma / Bronchitis / Other lung problems  Yes No

Blood disorders (anaemia, etc. )  Yes No

Convulsions, loss of consciousness , fainting ...  Yes No

Heart disorders , angina, palpitations , blood pressure  Yes No

Rheumatic fever, rheumatism, arthritis  Yes No

Diabetes, thyroid problems  Yes No

Skin problems  Yes No

Mobility problems  Yes No

Allergies  Yes No

Special remarks:

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