Language School Registration
The Spring Semester begins on January 21, 2012.

    Please register me for classes. Please add me to Language School mailing list.
Name:
Address:
City:   State:   Zip:
Home Phone:    Work Phone:    Cell:
E-Mail:    Fax:
    Please circle any information you do NOT want included in the School Directory.

Select Desired Classes

Czech 101 (1st year, Introductory)
Czech 102 (2nd year)
Czech 201 (Intermediate)
Czech Conversation (2 hours)
Czech Conversation Practice (1 hour)
Slovak 101 1st year
Slovak 201 2nd year
Slavic Culture (1 hour)


Membership Application/Renewal:

We encourage students to pay membership dues because CSHA subsidizes the Language School. If needed, please fill out the  membership application form and enclose it with a separate check with your language school application.


Amount Enclosed:

(Text books may be purchasted on the first day of classes.)

Tuition $70 per 2-hour course
$35 per 1-hour courses 		        Other
Total (Payable To CSHA)

Please complete, print and mail a copy of this form along with your check. Make your check payable to The Czech and Slovak Heritage Association (or just CSHA) and address the envelope to:

Lois Hybl
CSHA - Language School
PO Box 20261
Baltimore, MD 21284-0261


Last update: Fri Dec 23 15:50:08 EST 2011

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