Application Form for Czech Language Courses in Prague and in Olomouc

First Name and Last Name

Phone Number

E-mail (required)

Address

I have been learning Czech for

I have been using these materials
(pls. give your coursebook and
lessons covered)

Czech Language Courses

Date(s)
 04. 11. – 05. 11. 2017 Prague (Weekend Czech Language Course) 11. 11. – 12. 11. 2017 Olomouc (Weekend Czech Language Course) 02. 12. – 03. 12. 2017 Prague (Weekend Czech Language Course) 09. 12. – 10. 12. 2017 Olomouc (Weekend Czech Language Course) 13. 01. – 14. 01. 2018 Prague (Weekend Czech Language Course) 20. 01. – 21. 01. 2018 Olomouc (Weekend Czech Language Course) 11. 02. - 17. 02. 2018 Prague (One-Week Czech Language Course with Programme) 12. 02. - 17. 02. 2018 Prague (One-Week Czech Language Course without Programme) 10. 03. – 11. 03. 2018 Prague (Weekend Czech Language Course) 17. 03. – 18. 03. 2018 Olomouc (Weekend Czech Language Course) 08. 04. - 14. 04. 2018 Prague (One-Week Czech Language Course with Programme) 09. 04. - 14. 04. 2018 Prague (One-Week Czech Language Course without Programme) 12. 05. – 13. 05. 2018 Prague (Weekend Czech Language Course) 19. 05. – 20. 05. 2018 Olomouc (Weekend Czech Language Course) 14. 07. – 15. 07. 2018 Prague (Weekend Czech Language Course) 21. 07. – 22. 07. 2018 Olomouc (Weekend Czech Language Course) 22. 07. - 28. 07. 2018 Prague (One-Week Czech Language Course with Programme) 23. 07. - 28. 07. 2018 Prague (One-Week Czech Language Course without Programme) 12. 08. - 18. 08. 2018 Olomouc (One-Week Czech Language Course with Programme) 13. 08. - 18. 08. 2018 Olomouc (One-Week Czech Language Course without Programme) 19. 08. - 25. 08. 2018 Olomouc (One-Week Czech Language Course with Programme) 20. 08. - 25. 08. 2018 Olomouc (One-Week Czech Language Course without Programme)

Accommodation
 Dormitory - double room Dormitory - double room (single occupancy) In the host family Own Hotel/ Guest House - single room Hotel/ Guest House - double room I have chosen:

Your remarks and questions

You will receive the confirmation of your application for a Czech Language Course in Prague or in Olomouc within a week. The course and accommodation fees are to be paid in Czech crowns or in euros upon arrival.

We are already looking forward to you!