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Czech and Slovak School of Pittsburgh
Adult
Student Enrollment Form - Spring 2021
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Indicates required field
Student’s name
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First
Last
Date of birth (mm/dd/yyyy)
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Gender
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Student's mailing address
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Student's email
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Student's phone number
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Please describe experience with the Czech language. Did you take any Czech classes in the past? What are your expectations for this class? Please be specific.
Additional comments
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Tuition and classes
Cesky a Slovensky Svet offers this semester two Czech language classes for adults - ONLINE. Registration deadline is
March 12th 2021.
Tuition for each semester is $200. For detailed information about classes and payments, please visit our
information page
.
Attendance
I agree to pay the full tuition for the course as listed on the School's website. I understand that I am committed for the whole semester and that the tuition fees are non-refundable. If exceptional circumstances arise (prolonged illness, unexpected family situation, etc.) a refund for paid tuition may be issued. It is always at the discretion of the Czech and Slovak School of Pittsburgh the level of refund.
Student's initial
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Right to use images:
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to review the policy and initial:
Right to use images
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No
Student's initial:
*
Sharing contact information
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to review the policy and initial:
Share our contact information:
*
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No
Student's initial:
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Nondiscriminatory policy
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to review the policy and initial:
Student's initial
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By writing my name to the box below, I agree with the Waiver of Liability (click
HERE
to review) and I acknowledge that I have read and understood this form in full for the purpose of registering myself at
the Czech and Slovak School of Pittsburgh
. I agree to abide by the rules and regulations of the Czech and Slovak School of Pittsburgh.
Student's signature:
*
Please click the button bellow to submit your registration.
If any of the required fields are missing or any field is entered incorrectly, you need to correct the highlighted fields before a successful submission.
A message will appear when your online application has been successfully submitted.
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