Reservation Form Teen Solo Participant

Fields marked with an * are required.

First & Middle Names*

Last Name(s)*

Birthdate (dd/mm/yyyy)*

Gender*

Your pronouns

Phone*

Email*

Passport Number*

Nationality*

Country of residency*

Parent/Guardian’s Name*

Relation to student*

Parent/Guardian email*

Parent/Guardian Phone Number 1*

Parent/Guardian Phone Number 2

Emergency contact name*

Emergency contact number*

Your Approximate Spanish Level*

Where and how long have you studied Spanish?*

Have you studied any other languages, and to what level?

Current year/grade in school*

Please state any homestay preferences or concerns you might have regarding smokers, children, pets, allergies, vegetarian food, etc.*

What are your general expectations for this experience?

Why do you want to participate in this program? What are you most excited – and most nervous – about?

Tell us a little about yourself (your personality, how you handle stress, likes and dislikes, favourite classes, sports, hobbies, volunteer work, special skills or talents, etc.).

Do you have any experience traveling by yourself or studying/working with people from different countries or backgrounds? If yes, what have you learned?

What challenges do you anticipate during the program and how do you think you might manage them?

How are you preparing for your trip (e.g., practicing Spanish, reading about Costa Rica, exploring online)?

How do you think this program will help you grow?

How comfortable are you being independent, managing your own schedule, and advocating for yourself regarding issues or problems?

Please let us know if you have any physical or psychological conditions, learning support or accommodation needs, dietary concerns, allergies to food or medication, or any other circumstances we should be aware of. This information will be kept strictly confidential and will not affect your admission to the program in any way. It is requested solely to help us provide any necessary support during your participation.

Health information and support needs

Pick me up at the airport (SJO)?*

Please indicate which Teen program you are signing up for*

Teen Spanish & Adventure Summer Camp (2 weeks in July, beach and city, all inclusive)Teen Spanish Immersion (classes, homestay, activities & volunteering)Teen Camp (2 weeks) + Additional Week/s Teen Spanish ImmersionHigh School Abroad (2–10 months)

Arrival date — Teen Spanish & Adventure Summer Camp (2 weeks in July, beach and city, all inclusive)

Departure date — Teen Spanish & Adventure Summer Camp (2 weeks in July, beach and city, all inclusive)

Desired total Teen Spanish Immersion program length (weeks)

Arrival date — Teen Spanish Immersion (classes, homestay, activities & volunteering)

Departure date — Teen Spanish Immersion (classes, homestay, activities & volunteering)

Additional weeks of Teen Spanish Immersion on top of Teen Camp

Arrival date — Teen Camp (2 weeks) + Additional Week/s Teen Spanish Immersion

Departure date — Teen Camp (2 weeks) + Additional Week/s Teen Spanish Immersion

Planned Arrival date — High School Abroad (2–10 months)

Planned Departure date — High School Abroad (2–10 months)

Spanish Immersion weeks before joining local High School

Months of High School attendance

Which High School do you want to attend?

Additional homestay-only months

Pick Up Date

Pick Up Time

Flight Number

Airline

Airport

Where or how did you hear about our Teen Programs?*

Please specify where you heard about our Teen Programs

Why did you choose Intercultura Costa Rica’s Teen program? (select all that apply)*

Please read all of the following declarations before submitting your registration.

I and my parents/legal guardians have read and agree to abide by Intercultura Costa Rica’s Terms & Conditions and the penalties described.*

I agree

My parent(s) or legal guardian(s) authorize Intercultura to obtain emergency medical treatment on my behalf if necessary, and agree to inform the school in writing before the program of relevant medical, psychological, learning-support and allergy information.*

I agree

I am aware of the National Holidays when the school will be closed for classes.*

I agree

I understand that WhatsApp is the primary means of communication in Costa Rica and agree to use it with school staff, homestays and classmates as necessary.*

I agree

I understand the passport and visa requirements applicable to my country of citizenship, agree to obtain necessary travel documents well in advance, and understand that my passport must be valid for at least six months beyond my planned travel dates.*

I agree

Do not close this tab or your browser after clicking the submit button. Please wait for the "Thank you" page to appear. This indicates that your reservation form has been successfully received.
By clicking to submit my registration form, I confirm that I have read and agree to Intercultura’s Terms & Conditions and Privacy Policy.
TRAVEL INSURANCE: Intercultura partners with Trawick International through former student Jake Fisher, a provider familiar with the needs of study-abroad participants. However, students are free to choose any company that includes coverage for medical care, trip interruption, and emergency assistance while abroad. If you consider Trawick, you can compare prices and receive a non-binding quote here.

Please fill out the form with the help of your parent or guardian.

Important notes

Personal Information

More about yourself

Goals & Expectations

Health Information

Program Information

Marketing data

Terms & Conditions

Terms & Conditions

Privacy Policy

EARTH DEEDS:

Make Your Trip Carbon Conscious

AGBs

Datenschutzerklärung

Klimabewusst Reisen

Termes & Conditions

Politique de Confidentialité

Voyage Eco-responsable