Complete the form below to enroll with Celas Maya. This page is secured using
High Level 256-bit SSL Encryption. All data transmitted is secure.
All fields are required.

Identifying Information


Enter your full name:


Street Address:


City, State/Province, Postal code:


Country:


Nationality (if different):


Date of birth:
Day: Month: Year:

Phone number:


E-mail address:

Profession/Occupation:


Requested study start date (ex. 3 April 2005)


Planned weeks of study:

Additional Information

Language you will study:
Spanish Quiche / K'iche Spanish on-line Quiche / K'iche on-line

Additional Activities / Optional:
Spanish & Volunteer Volunteer work only Volunteer work & Host family (No Spanish classes) Salsa & Spanish �In case of volunteering: please specify the organization of interest,
time available and your (expected) Spanish level.�

�In case of the combination of Spanish classes and Salsa classes:
please specify the style of interest and the amount of hours for
Spanish classes.�


Describe any previous experience with this language:

Describe any special areas of study on which you want to
concentrate:

Describe any preferences concerning your family homestay; e.g.
pets, children, smoking:

Describe any special dietary requirements:

Describe any allergies or medical conditions of concern:

Please provide emergency contact information. At a minimum,
include name, telephone number, and relationship:

1.How did you find out about Celas Maya:
Google 123Teachme Xelapages Other web site

2. What can we do to make our website more informative/easier to
use:

Credit card information.
When you will be studying at Celas Maya, a non-refundable registration fee applies. This exists of $30, plus $3 of processing fee ($33 in total).
Please note that at this time we can only accept payment by VISA -- we cannot
accept MasterCard or American Express. 

For other payments like online classes, this registration fee of $33 does not apply. For these payments, a processing fee of  8% applies.

Name on VISA card:
Billing phone number:

Card number:

Expiration Date (e.g. 11/05):


Celas Maya process this form by means of staff and not computers. This is why you do not need to add your 3/4 didget security number.

For students using MasterCard, American Express or students interested in saving the $3.00 processing fee you can sign up using the link below paying only $30.00. https://guatepay.com/reg_celasmaya.htm


The Thawte Trusted Site Seal is a visible, real-time assurance, that guarantees that the information you submit to our website is private.

The Thawte Seal informs you that this website is certified by the most trusted digital certificate provider on the Internet. Thawte is recognized world over as a premium certification authority.

By clicking on the Thawte Trusted Site Seal below, your will get real-time confirmation of the validity of the certificate on the Celas Maya web server.

If you are not comfortable with enrolling online, you may fax us the printable form at 502-7761-4342