1. REBECA VILLAFAÑA, INSTRUCTOR
Spanish for Professionals
New Student Registration
Learn Spanish in a fun, personal, and small group setting
Class Format:
Introduction
Vocabulary
Dialogue Practice
Real-WorldPractice (outside of classroom setting)
2 Hours Per class
Small ClassSize of 8
Class Themes:
Cooking in Spanish – “Cooking Mexican Style”
Making Margaritas – “Partying Mexican Style”
The Restaurant –“Going to andordering at a restaurant”
Supermarket – “Buying Food”
Mexican Bingo/La Loteria – “Playing Mexican Style”
At the Mall– “Buying goodsand services”
At the Hospital or Clinic – “Basic Medical Terminology”
***Session Dates
February 5th – March 12th
7:00 – 9:00 pm
Santa Cruz, CA 95062
Please check box for preferred days/times (FORSCHEDULING PURPOSES)
 Monday  Tuesday  Wednesday  Thursday  Friday  Saturday
 8-10 am  10-12 am  12-2 pm  2-4 pm  4-6 pm  6-8 pm  Other: _______________
6-Week Session $480.00
50% Deposit to save your spot in the classby January23, 2015
Cost includesALL materials as well as appetizers and drinks (non-alcoholic)
At The Restaurantvisit.
 Same Family Discount (2 or more family members) - $400 per person per session
 EARLY BIRD Discount (Pay in full by Friday, January16, 2015) - $380 per personper session
 Get a FRIEND to enroll andPAY ONLY $400 for your tuition!!!
 Get two FRIENDS to enrolland your tuition is WAIVED!!!
You can scan your registrationform and email it to: Rvillafana1218@gmail.com
Questions?Call 831-435-0776.

2. LEVEL OF SPANISH PROFICIENCY
Please check the box, which applies to your level of proficiency:
 I can understandspokenSpanish
 I can read Spanish
 I can write Spanish
 All of the above
 None of the above
 Other: _____________________________________________________________________
Please check the box for your area of interest/work:
 Education
 Business
 Medical Field
 Health & Fitness
 Travel
 Social Services
 Other/Please specify: ________________________________________________________
If there is a specific subject or area you would like the instructorto teach, please write it
down below:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Name: _________________________________ _____________________________________
Last First
Company/Organization: ________________________________________________________
Title: ________________________________________________________________________
Address:_____________________________________________________________________
City: _________________________________ State: _________ Zip Code: _______________
Email: _______________________________________________________________________
Home Phone: _______________ Cell Phone: ______________ Work Phone: _____________
Birthdate: ____________________________________________________________________
Signature: ___________________________________________ Date: ___________________