Registration Form
Name
Title
Specialty
Address
City
State
Zip
Course Dates
Location
Phone
Fax
e-mail
 

Select Mexico or US

  Mexico  

  
8 days in México: $999

 Residents, P.A.s, N.P.s and R.N.s: $899

Students -$799


 $450 - Non-refundable Deposit, but may be applied towards another workshop if an emergency arises.  Balance due 2 weeks prior to class.

 
I will be Lodging at: Hotel

 


 Air Travel to Mexico not included.   Lodging not included.

 
For Mexico course, class materials will be sent out in advance.  Therefore, it is extremely important that you please send back the assessment form so that we may determine which level you are at.  Gracias!! 

Please enclose $29.95 for Shipping and Handling of course material.

 

United States  

4-day Course: $699
Residents, P.A.s and R.N.s : $599
Students -$499.

$350 - Non-refundable Deposit, but may be applied towards another
workshop if an emergency arises. Balance due 2 weeks prior to class.      

Air Travel not included.    Lodging not include.


If you are a TOTAL BEGINNER, please indicate if you prefer books and CDs in advance. 
 yes   no, and we will gladly send them. If not, you will receive them the first day of class.  (If yes, please enclose $29.95 Shipping & Handling.)

 


 

  


Please fill out the Assessment form below; however if you prefer to submit the Registration only, just  click on Submit here, and you can return later to fill out the Assessment form


Have you ever studied a foreign language before? -    Yes     No  

               If yes, what language(s) and for how long?

 

Please answer in full sentences in Spanish on your own without a dictionary.  Don’t worry about spelling or answering only parts or even nothing. This simply allows us to place you in the most appropriate level. 

 

 

1. ¿Cómo se llama, dónde vive y cómo está Ud?

2. ¿Qué va a tomar y comer por la mañana?

3. Describa en detalle lo que hace Ud. en su trabajo.

4. ¿Qué hizo anoche?

 

PLEASE TRANSLATE # 5-7 TO SPANISH   IN FULL SENTENCES!

5. Lie down.  Bend your knees.   Sit up.  Stand up.   Stick out your tongue and say "Ah".  Walk straight ahead.  Walk on your heels and turn around.   Close your eyes.   Hold Still.

6. Have you ever had heart problems or difficulty breathing?

 

7. ¿What kind of pain is it?  Is it sharp, dull, intermittent, throbbing, crushing?  Can you describe it?

 

Please answer in Spanish:

8.  Si ganara la lotería, ¿qué haría?