REQUEST FOR RESERVATION
Concordia Language Villages - VILLAGE WEEKENDS

Please use a separate form for each group of students for whom you wish to make a reservation (different languages or different weekends). 

All fields are required except where noted.

 
Teacher:  
School:  
Grades:  
Levels:  
Address:  
City:  
State:  
Zip:  
Phone: example: (555)555-1212  
School Fax: example: (555)555-1212  
E-mail:  
Verify E-Mail:    
My first choice program and dates are:

 

 

My second choice program and dates are: (optional)  

Number of students:  
     

Requests for January-May reservations will be accepted beginning September 23 at 8:00 a.m.

I understand that this reservation will be held for three weeks after I receive the Confi rmation of Reservation (not past the third week in September for early reservations for fall programs). I understand that in order to keep these dates, I need to send in applications and deposits before this deadline, for each student who wishes to attend.