Registration Form

Please fill in all the fields.
IMPORTANT NOTICE: If the person to register is a minor, they must appear with their legal guardian or representative at our facilities to fill out the respective mandatory authorization form in order to process their registration, otherwise they will not be able to enter the institution.

STUDENT INFORMATION

Student's Full Name*
Contact email*
Sex *
Date of birth *
Home address *
City *
Status *
Zip Code *
Home Phone*
Course requesting *
Are you a US citizen? *
If NO, is your stay in the US legal?

IMPORTANT: his Immigration status does NOT affect his registration at all

CONSULTATION ABOUT PERSONAL ASPECTS

QUESTIONS YOU NEED TO ANSWER

Answer the following questions completely and honestly.

Do you have any medical conditions that we should be aware of? *
Do you take any type of medication to control any medical condition?*
Do you have any criminal history or record to comment on?*

Thank you for taking your time to fill out the form. Now click "send".