Personal details
Your name:
*Your family name:
*Your age
*Birth date (dd/mm/year)
*Sex
Male
Female
*Passport Number
*Exp. Date (dd/mm/year)
*Studies
*Address
*City
*ZIP/Postcode
*Country
*Your phone (country code, prefix, phone, without spaces)
Your email:
*Personal hobbies
Describe your personality in a few words
Family data
*Father’s Name
*EMAIL
Cell Phone
Business Tel.
*Mother’s Name
*EMAIL
Cell Phone
*Student lives with:
both parents
mother
father
other
*Parents are:
Married
Divorced
Separated
Emergency Contact (Contact person, relationship, address, telephone, and e-mail in your country in case of notifications during the study abroad in Spain.)*
**All your personal details included in this form are for the exclusive use of ZADOR, School of Spanish and TAU Baskonia Basketball Club, and for the arrangement and charge of the services selected by the student (course, accommodation, activities, transfer, insurance, etc.).
Program
*Weekend in Barcelona
(2 to 4 July)
Yes
No
Basketball Camp - Number of. weeks
(1 week or 2 weeks)
4-07-2010 to 11-07-2010
11-07-2010 to 18-07-2010
4-07-2010 to 18-07-2010
*Spanish level (From level 1 to 10, being 10 the higher)
Level
*Mother tongue
Other languages
How long have you been studying Spanish
Accommodation
*Residence Accommodation
Yes
No
*Arrival date
*Departure date
Number of nights
If you have any allergies, illnesses, or if you need a special diet, and you think you have to specify them, please write them in the box. If not, write "None". *
Regarding the accommodation, you are expected to arrive on the Sunday 4the July and to leave on Sunday 18th July. If you want to extend your stay before or after the course, consult the possibility of extra nights in a family or in the residence.
Are there any other habits you have that should be taken into account for your accommodation?
Extra nights before
Extra nights after
Are you travelling with a companion?
Yes
No
Same accommodation?
Yes
No
Companion's Name
Basketball details
*How long have you been playing basketball?
*Category you play in
Team you play in
*What is your position?
Championships you have taken part in during 08/09 season
School you study at
*How many training sessions do you have per week?
Have you ever taken part in any Basketball Camp before? Where & When?
*Describe your strongest points as a basketball player
*Describe your weakest points as a basketball player
*How tall are you? (cm)
*What do you weigh? (kilos)
*T-Shirt Size (S M L XL XXL
*Do you want additional basketball clothes
Yes
No
You can see basketball clothes at the Caja Laboral Baskonia Store . Please, write model name, number of items and price.
Additional T-Shirts
Additional Shorts
Additional Jersey
*Have you ever had a serious injury?
*Which parts of your way of playing would you like to improve at the Campus?
*What are your sports goals?
Services: Transfer and Insurance
Travel, Medical and accident insurance is included in the price.
*Cancellation Insurance
Yes
No
* Transfer service from 8 am to 10 pm from Vitoria airport, Vitoria train station or Vitoria bus station is included in the Fees for Junior and Children. From other places (Bilbao, Madrid…), and before 8 am and after 10 pm, there is an extra charge.
*Transfer
Yes
No
Transfer from
Vitoria train station
Vitoria airport
Vitoria Bus
Other
Arrival
Arrival date
Arrival place
Coming from
Flight Nº
Time
Departure
Departure date
Departure place
Going to
Flight Nº
Time
If you do not need pick-up service, please specify mean of transport, arrival date and time and contact details of accompanying person if different from the parents:
Payments
Deposit payment - 300 €
To make the reservation, payment of the deposit is required, which will be deducted from the total price. An enrolment is not valid until the payment of this amount is received. Please, indicate the method of payment.(Bank transfer, Credit Card, Cashier Cheque)*
*Deposit Payment
PLEASE SELECT...... Bank Transfer Credit Card Cashier Check
Total payment:
PLEASE SELECT...... Bank Transfer Credit Card Cashier Check
How would you prefer
to be contacted?
By Email
By Phone
Additional Message:
Terms of enrolment and truthfulness of information
By sending this form, I acknowledge that I have read and understood, and I accept the terms and conditions of enrolment stated above and I guarantee that all the information included in this form is true. My son/daughter has my permission to apply for and to participate in an international study experience organized by ZADOR Spanish school and TAU Ceramica Basketball.
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