Please provide us with your contact information belowRoleTeacherAdministratorStudent teacherCollege ProfesorGirl Scout leaderStudentOtherSchool Name:School State:Country of OriginUnited KingdomUnited States of AmericaCanadaGermanyAlbaniaAmerican SamoaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBarbadosBelarusBelgiumBelizeBermudaBoliviaBosnia and HerzegovinaBrazilBulgariaCameroonCape VerdeChileChinaColombiaCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGhanaGreeceGreenlandGrenadaGuamGuatemalaGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Name* Email* Phone*Information about your stay in Costa RicaArrival Date* MM slash DD slash YYYY Departure Date* MM slash DD slash YYYY How many people would be traveling?Group leaders12345678910How Many Students ?Other adults, How Many ?Children's AgeCultural focus. Please check the activities of your interest Football classes Latin dance classes Spanish classes Coffee, sugar cane and pinneaple farms visits Cooking classes (tipical food) Complementary activities while you are in Costa Rica. Please check the activities of your interest Beaches Volcanoes Rainforests National Parks Waterfalls Hot Springs Wildlife Nature Watching Sport Fishing Zipline River Float Horseback Riding Surfing Diving/Snorkeling Kayaking White Water Rafting Hiking Cultural and Shopping Coffe/Cocoa tours Nightlife Fine Dining Bird watching Yoga Coments and Special RequirementsPlease note that submission of this form does not constitute a confirmed booking. One of our agents will contact you at the contact number you provided and confirmation will proceed from there. We look forward to helping you and your friends/family have a safe and adventurous Costa Rica vacation! Δ
