Registration form

Registration form - Fill in your personal data below to subsribe to our Visit Guate Program. If you do not want to register yet, and just want some extra information about the Visit Guate Program, please fill out this form.

	Personal data
Name
First names
Sex	Sex MaleFemale
Date of birth
Address
Zip code
City
Country
Phone number
E-mail address
Profession/education
Nationality
Number of passport
Phone number in case of emergency
Name of emergency contact person
Relation emergency contact person to you
	Airport pickup service
Airport pickup service	Pickup YesNo
	if "yes", fill out the following:
Flight no.
Airline
Date of arrival
Time of arrival
	Spanish course
Spanish course	Spanishcourse YesNo
	if "yes", fill out the following:
Number of weeks
Start date
Schedule	Courseschedule MorningAfternoon
Number of hours per day:	Coursehours 4567
Pay mode	Paymode CashCredit cardTraveller's cheques
Any additional comments about Spanish course
	Home stay
Home Stay	Homestay Host familyGuesthouseNeither
	if "yes", fill out the following:
Any food preferences (vegetarian, allergies)
Any additional comments about home stay
	Volunteer work
Number of weeks
Start date
I want to join the teacher's assistant in the morning program	Teacherassistant YesNo
I want to join the remedial tutor in the afternoon program	Remedialtutor YesNo
I want to join the extracurricular classes teacher in the afternoon program	Extracurricular YesNo
Specific skills (e.g. drama, painting)
Any additional comments about volunteer work
	Additional comments
Any additional comments
How do you know Niños de Guatemala?
Why do you want to do volunteer work in Guatemala?
What is the main reason for choosing Niños de Guatemala to do this?