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    Czech and Slovak school of Pittsburgh
    Language Immersion Camp 
    May 19-21, 2023
    Raccoon Creek State Park

    Czech and Slovak Language Immersion Camp Registration Form


    Please, fill out all information and return by April 5th, 2023
    Registration begins on:
     March 22nd, 2023, for active members of Czech and Slovak School of Pittsburgh
     March 29th, 2023, for nonmembers/general public
    THESE DATES ARE FINAL AND NO LATE REGISTRATION WILL BE ACCEPTED!!!!

    Do not send payments with the registration form!
    Receiving your registration form does not guarantee you a spot at the camp.
    Please, wait for a confirmation email with the instructions on how to proceed with your payment.


    If more than one child from the family is attending, please fill here:
    (mm/dd/yyyy)
    (mm/dd/yyyy)


    (T-shirt size is needed only for parents staying at the camp)
    Are parents accompanying a child(ren) to the camp?
    If YES, please specify if only one or both parents will be coming!
    *Please note that children 12 years and younger must be accompanied by at least one parent!

    *Health Card Must Be Brought to Camp


    Accommodation has been reserved at the modern cabins in Raccoon Creek State Park. 
    However, due to a big interest in our camp, we made reservations for tents as well.
    I am interested in staying at Modern Cabins (2 nights): 
    $50/bed (every person occupying a bed in the cabin will need to pay $50 for the whole weekend, meals are included in the price). We will try to accommodate requests and put people together in cabins, but you might be asked to share a cabin with other people.

    I am interested in SATURDAY Day Camp Only (not staying overnight):
    $20/person (children 2 years and younger do not pay), meals are included. 

    Tent site: 
    $30/ person/ whole weekend.
    You need to provide your own tent
    (meals are included in the price). The tent site is not within a walkable distance from the cabins and main activities-you need to drive 2-3 minutes. One of the modern cabins, as well as the big room we reserved for the weekend, will serve as a base for everyone’s needs during the day activities.
    ​If you have any questions, feel free to email us at skola@czechslovakschoolpgh.org

    RIGHT TO USE IMAGES 

    I understand that the Czech and Slovak School of Pittsburgh may produce or participate in video, motion picture, audio recording, web pages, still photographs, broadcast, social media, and/or other publication which may involve the use of student's images, video, or voice. Such productions will be used for non-commercial education, exhibition, or promotional material and will not be sold for any reason. They may be copied copyrighted, edited, and/or distributed by the Czech and Slovak School of Pittsburgh, in the manner described above. By checking YES, and signing below, I grant Czech and Slovak School of Pittsburgh the right to use and re-use, in any manner, the video, motion picture, audio recording, web pages, still photographs, broadcast, social media, and/or other publication described above containing my child(ren)'s image or voice named herein. I waive the right of prior approval and herby release the Czech and Slovak School of Pittsburgh, its agents, or its designees from any and all claims for damages or remuneration of any kind based on the use of said materials. I have read the forgoing and fully and completely understand the contents thereof and accept or reject these terms and conditions as indicated below (please circle one)

     Everyone attending our camp is expected to follow the camp rules, be on time, and actively participate in all camp activities.    

    The Language Immersion Camp is partially
    funded from the generous financial support of the
    Ministry of Foreign Affairs of the Czech Republic.

    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. 
Submit

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skola@czechslovakschoolpgh.org
Wightman School Community Building
5604 Solway Street
Pittsburgh, PA 15217-1264
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