ZAZPIAK BAT BASQUE CLUB

BOGA EUSKERA PROGRAM QUESTIONAIRE

Please complete the questionnaire for each person in your household that is 

interested in enrolling in the BOGA program.  The information will be submitted

to the program administrators for registration purposes.  A password to access

the program and CDs will be issued after registration has taken place.

NAME:_______________________________________________________

ADDRESS:____________________________________________________

EMAIL ADDRESS:______________________________________________

PHONE #:____________________________________________________

PREFERRED PASSWORD__________________________________________

You may or may not be issued this exact password by BOGA

Your level of Euskera (circle the response that best applies to you)

No knowledge Very Little Knowledge  speak but not write           

intermediate level of speaking and writing

Advanced level of speaking and writing

How often would you like to attend group meeting for conversation/activities.  

Once a week  Once a month Bi-monthly  Not at all

Please send questionnaire to:  

	Mikel Lopategui

	220 Stonewall Ct.

     	Reno, NV  89511

Click here to download a word document!