Spanish Workshops 2009 Registration Form

For a list of all summer Spanish workshops, please click here.

Student or Guardian Information
First Name:
Last Name:
E-mail Address:
Phone Number:
Address:
City:
State:	Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
Zip Code:

Adult Course Information:
$300.00 (4 weeks) - 16 hours	Select Level -------------------- Initial Intermediate Advanced Superior
	Select Courses Grammar Review Conversation Spanish for Travelers Accent Reduction
	Select Date and Time -------------------- July 6–31 - Monday – Wednesday 10:00 am – 12:00 pm July 6–31 - Tuesday – Thursday 6:00 pm – 8:00 pm August 3–28 - Monday – Wednesday 10:00 am – 12:00 pm August 3–28 - Tuesday – Thursday 6:00 pm – 8:00 pm

$250.00 (4 weeks) - 12 hours	Select Level Advanced Superior
	Select Courses Literature & Spanish Culture
	Select Date and Time -------------------- July 6–31 - Monday 10:00 am – 1:00 pm July 6–31 - Wednesday 6:00 pm – 9:00 pm August 3–28 - Monday 10:00 am – 1:00 pm August 3–28 - Wednesday 6:00 pm – 9:00 pm

$180.00 (One day)	Saturday One-Day Crash Workshop : Survival Spanish for Travelers 10 a.m. – 4 p.m.
	Select Date -------------------- Saturday, July 10 Saturday, July 17 Saturday, July 24 Saturday, July 31 Saturday, August 7 Saturday, August 14 Saturday, August 21 Saturday, August 28

Children's Course Information:
Spanish for Children (ages 6 – 8 yrs) (ages 9 –12 yrs) $600.00 (2 weeks) - 18 hours	Monday, Wednesday & Friday 10:00 am – 1:00 pm
	Child's Full Name:
	Child's Age:
	July 6 – July 17 July 21 – July 31 August 3 – August 14 August 17 – August 28

Payment Information
Make check payable to: Queen Sofía Spanish Institute OR enter your Credit Card info
Credit Card Type:	American Express Visa Mastercard Discover
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Spanish Workshops 2009 Registration Form

Student or Guardian Information

Adult Course Information:

Children's Course Information:

Payment Information