TCK Camper Sign-Up Form 2026

Sign-Up Form [closes 31 July 2026]

*Candy choices close 24 July. After that, choice is NOT available. Camp Dates: Sunday 2nd August - Saturday 8th August 2026
Parent/Carer Information
Email
example@example.com
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number including country code

Country CodePhoneNumber
Will you (the parent) be in the Czech Republic for the duration of camp? If No, who will assume responsibility for the child if we need it in case of an emergency?
Please include all of the contact information and relationship to the child
Emergency Contact Information (Please include Full Name, Relationship to the Child, Phone Number including Country Code and Email Address)
Additional/Alternative Emergency Contact - Relationship to the Child
Please read the media release in full.
I have read the media release and agree to its terms.
Camper Information

Please register all of the campers for your family below.
Camper #1
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's Age
At the time of coming to camp
Child's Gender
Child's School
Child's Insurance Provider and Number
Child's Nationality and Passport Number
Can this child swim unassisted for 25 metres?
Child's T-Shirt Size
Describe any ALLERGIES this child may have.
Describe any DIETARY RESTRICTIONS this child has.
Parents, please supply special items for your children like specific bread, milk, or etc.
Describe any MEDICATIONS this child needs.
All information must be written in English and included in the medication bag. Please provide child name, name of medication, dosage, frequency and any other pertinent information.
What BEHAVIORAL ISSUES or SPECIAL REQUIREMENTS does this child have?
The more information our staff have, the better they can assist your child.
Please share some of this child's interests or hobbies.
Describe this child's level of English proficiency.
A basic level of English is required for your child's safety. They need to be able to understand and respond in the event of an emergency. This is NOT an English language learning camp.
Candy Choice #1
Candy Choice #2
Candy Choice #3
Candy Choice #4
Candy Choice #5
Would you like to register another camper?
Camper #2
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's Age
At the time of coming to camp
Child's Gender
Child's School
Child's Insurance Provider and Number
Child's Nationality and Passport Number
Can this child swim unassisted for 25 metres?
Child's T-Shirt Size
Describe any ALLERGIES this child may have.
Describe any DIETARY RESTRICTIONS this child has.
Parents, please supply special items for your children like specific bread, milk, or etc.
Describe any MEDICATIONS this child needs.
All information must be written in English and included in the medication bag. Please provide child name, name of medication, dosage, frequency and any other pertinent information.
What BEHAVIORAL ISSUES or SPECIAL REQUIREMENTS does this child have?
The more information our staff have, the better they can assist your child.
Please share some of this child's interests or hobbies.
Describe this child's level of English proficiency.
A basic level of English is required for your child's safety. They need to be able to understand and respond in the event of an emergency. This is NOT an English language learning camp.
Candy Choice #1
Candy Choice #2
Candy Choice #3
Candy Choice #4
Candy Choice #5
Would you like to register another camper?
Camper #3
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's Age
At the time of coming to camp
Child's Gender
Child's School
Child's Insurance Provider and Number
Child's Nationality and Passport Number
Can this child swim unassisted for 25 metres?
Child's T-Shirt Size
Describe any ALLERGIES this child may have.
Describe any DIETARY RESTRICTIONS this child has.
Parents, please supply special items for your children like specific bread, milk, or etc.
Describe any MEDICATIONS this child needs.
All information must be written in English and included in the medication bag. Please provide child name, name of medication, dosage, frequency and any other pertinent information.
What BEHAVIORAL ISSUES or SPECIAL REQUIREMENTS does this child have?
The more information our staff have, the better they can assist your child.
Please share some of this child's interests or hobbies.
Describe this child's level of English proficiency.
A basic level of English is required for your child's safety. They need to be able to understand and respond in the event of an emergency. This is NOT an English language learning camp.
Candy Choice #1
Candy Choice #2
Candy Choice #3
Candy Choice #4
Candy Choice #5
Would you like to register another camper?
Camper #4
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's Age
At the time of coming to camp
Child's Gender
Child's School
Child's Insurance Provider and Number
Child's Nationality and Passport Number
Can this child swim unassisted for 25 metres?
Child's T-Shirt Size
Describe any ALLERGIES this child may have.
Describe any DIETARY RESTRICTIONS this child has.
Parents, please supply special items for your children like specific bread, milk, or etc.
Describe any MEDICATIONS this child needs.
All information must be written in English and included in the medication bag. Please provide child name, name of medication, dosage, frequency and any other pertinent information.
What BEHAVIORAL ISSUES or SPECIAL REQUIREMENTS does this child have?
The more information our staff have, the better they can assist your child.
Please share some of this child's interests or hobbies.
Describe this child's level of English proficiency.
A basic level of English is required for your child's safety. They need to be able to understand and respond in the event of an emergency. This is NOT an English language learning camp.
Candy Choice #1
Candy Choice #2
Candy Choice #3
Candy Choice #4
Candy Choice #5
Would you like to register another camper?
Camper #5
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's Age
At the time of coming to camp
Child's Gender
Child's School
Child's Insurance Provider and Number
Child's Nationality and Passport Number
Can this child swim unassisted for 25 metres?
Child's T-Shirt Size
Describe any ALLERGIES this child may have.
Describe any DIETARY RESTRICTIONS this child has.
Parents, please supply special items for your children like specific bread, milk, or etc.
Describe any MEDICATIONS this child needs.
All information must be written in English and included in the medication bag. Please provide child name, name of medication, dosage, frequency and any other pertinent information.
What BEHAVIORAL ISSUES or SPECIAL REQUIREMENTS does this child have?
The more information our staff have, the better they can assist your child.
Please share some of this child's interests or hobbies.
Describe this child's level of English proficiency.
A basic level of English is required for your child's safety. They need to be able to understand and respond in the event of an emergency. This is NOT an English language learning camp.
Candy Choice #1
Candy Choice #2
Candy Choice #3
Candy Choice #4
Candy Choice #5
Download & Print Forms Below.

Then bring these filled out forms with you to camp. Each child attending will need one.
[English version] Please download and print ONE FORM FOR EACH CHILD. Then have a doctor complete and send to celina@icprague.cz.
[Czech version] Please download and print ONE FORM FOR EACH CHILD. Then have a doctor complete and send to celina@icprague.cz.
[English version] Please download and print ONE FORM FOR EACH CHILD now. Then complete the forms on the day of departure for camp.
[Czech version] Please download and print ONE FORM FOR EACH CHILD now. Then complete the forms on the day of departure for camp.

Sign-Up Form [closes 31 July 2026]

Parent/Carer Information

Camper Information

Camper #1

Camper #2

Camper #3

Camper #4

Camper #5

Download & Print Forms Below.

Calculated Total Payment Due