SOKOL Culture Camp 2026 Camper Registration

Sokol Minnesota's Czech and Slovak Cultural Day Camp

REGISTRATION FORM
June 15 to 19th, 2026

Camper 1.*

First NameLast Name

Date of Birth*

Date

Age*

Grade completed by 6/2026*

Do you have another camper to add?*

YesNo

Camper 2.*

First NameLast Name

Date of Birth*

Date

Age*

Grade completed by 6/2026*

Do you have another camper to add?*

YesNo

Camper 3.*

First NameLast Name

Date of Birth*

Date

Age*

Grade completed by 6/2026*

Parent or Guardian's Name:*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Telephone

Please enter a valid phone number.

Work/Cell*

Please enter a valid phone number.

Email*

example@example.com

My Camp Buddy (1 allowed)

Children must be ages 6-14.
All registrations must be received by Sunday, 6/1/2026.

No registrations will be accepted after 6/01/2026, including on the day that camp begins.

I wish to register my child and consent to my child's participation in the Sokol Minnesota Cultural Day Camp, located at the C.S.P.S. Hall, during the summer of 2026.
I recognize that participation in recreation and instructional activities, even when supervised and managed, poses a risk to my child and I agree to assume such risk on the behalf of my child.
I understand that children registered for Sokol Minnesota Cultural Day Camp will spend some time performing enrichment and sports activities under the supervision of group leaders and experienced instructors, and I consent to my child's participation in these activities.
I consent to the use of video recordings/photographs of my child's participation in the Sokol Minnesota Cultural Day Camp.
In case of injury, I authorize the staff of Sokol Minnesota Cultural Day Camp to render first aid and/or obtain whatever medical treatment is deemed necessary for the welfare of my child, listed on this registration, I further understand and agree that I will be financially responsible for all charges and fees incurred in the rendering of said treatment, regardless of whether my medical insurance would cover such charges and fees.
I, the undersigned, hereby hold Czech and Slovak Sokol Minnesota harmless from liability for any and all medical and/or accidental expenses which my minor child may injured during his/her involvement in the Czech and Slovak Cultural Day Camp.

I have read, understand and agree to the terms and conditions of this registration as they relate to my child/children.

Parent/Guardian's Signature

Date

Czech and Slovak Children's Cultural Day Camp 2026

Medical Information
(Required for Campers and Junior Leaders)

Camper 1. *

First NameLast Name

Emergency Contact 1*

First NameLast Name

Emergency Contact Relationship *

Emergency Contact Phone*

Emergency Contact 2*

First NameLast Name

Emergency Contact Relationship *

Emergency Contact Phone*

Attending Physician Name*

First NameLast Name

Attending Physician Phone*

Hospital*

Hospital Phone*

Medical Insurance Company*

Policy #*

Medical conditions that the Sokol Minnesota Cultural Day Camp staff and medical emergency services personnel need to be made aware of include:*

Do you have another camper to add?*

YesNo

Camper 2. *

First NameLast Name

Medical conditions that the Sokol Minnesota Cultural Day Camp staff and medical emergency servics personnel need to be made aware of include:*

Do you have another camper to add?*

YesNo

Camper 3. *

First NameLast Name

Medical conditions that the Sokol Minnesota Cultural Day Camp staff and medical emergency servics personnel need to be made aware of include:*

I understand, agree, and acknowledge that some activities may be of a physical and/or strenuous nature. Understanding this, I state to the best of my knowledge that the child(ren) listed in this registration has/have no medical conditions or impairments, including the use of medication, that might inhibit his/her active participation in the Sokol Minnesota Cultural Day Camp.

I understand that I am required to have accidental medical coverage for the child(ren) listed on this registration, and I verify that the information provided on my insurance policy is accurate and true. (Please contact us if your child is not covered by medical insurance to discuss options.)

Type Name(s) of Parents or Guardians

First NameLast Name

Type Name(s) of Parents or Guardians

First NameLast Name

Signature *

Date*

Date

Registration Options

Early-bird fee (Sokol MN Member)$30/day for campers of Sokol MN members if received by 5/15/2026

$150.00 Quantity

Regular fee (Sokol MN Member)$40/day for campers of Sokol MN members if received by 6/1/2026

$200.00 Quantity

Early-bird fee (Non-Sokol Member)$40/day for campers of Non-Sokol MN members if received by 5/15/2026

$200.00 Quantity

Regular fee (Non-Sokol MN Member)$45/day for campers of Non-Sokol MN members if received by 6/1/2026

$225.00 Quantity

Total

$0.00

Credit Card

Sokol Minnesota's Czech and Slovak Cultural Day CampREGISTRATION FORMJune 15 to 19th, 2026

Children must be ages 6-14. All registrations must be received by Sunday, 6/1/2026.

Czech and Slovak Children's Cultural Day Camp 2026

Medical Information (Required for Campers and Junior Leaders)

Credit Card

Sokol Minnesota's Czech and Slovak Cultural Day Camp

REGISTRATION FORM
June 15 to 19th, 2026

Children must be ages 6-14.
All registrations must be received by Sunday, 6/1/2026.

Medical Information
(Required for Campers and Junior Leaders)