Registration – CUCU Spanish

STUDENT REGISTRATION FORM

To get to know you and assist you better, please complete the form below, and our educational counselor will contact you directly.

Name

Last name

Email

Phone Number

Birth Date

Gender

Address

Postal/Zip Code

City

State

This course is for…

Student Name

Student Last Name

Spoken Languages

Student Email

Country

Studied Spanish before?

How many years?

Name of certification needed

Exam date

Trial Lesson

Trial Lesson options

What course are you interested in?

Standard Spanish IBDP Spanish B IBDP Ab Initio Spanish DELE Spanish for Children Other

Which packet are you interested in?

1 Lesson Pack 8 Lessons Pack 12 Lessons Pack 20 Lessons Pack More Lessons Pack Other

Anything else you want to tell us before we start?

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