La Fiesta de los Patios Registration – Language Immersion Bedford

Please fill in this form to register for the Language Immersion Cultural Trip to La Fiesta de los Patios de El Puerto de Santa María.
This trip will take place from 10^th-17^thApril 2024.

Personal Details

Name

Address

Mobile Number

Room Preference

Room type

If double, name of person shared with

One of the aims of this trip is to have the chance to be involved with the fiesta as a helper.
Please indicate if you wish to do this.

I would like to take part as a patio helper

I do not want to be a patio helper

Emergency Contact Details
In case of problems, please give the details of two contacts in the UK.

First Contact Name

First Contact Number

First Contact - relation to student

Second Contact Name

Second Contact Number

Second Contact - relation to student

Health Concerns

Do you have any health, allergy or dietry issues? Please list these below

Please give any other information which you feel the organiser needs to know