2013 Registration Form
12th Annual CISPES-CUSLAR Spanish for Activists Camp

July 5-7, 2013
Foundation of Light, 391 Turkey Hill Rd., Ithaca, NY.

If you plan to attend, please fill out this brief questionnaire, to help us meet your needs and expectations, as best we can.
For assistance, call (917) 214-4870 or email cuslarspanishcamp2010@gmail.com.  

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Name *
Phone *
Alternate Phone
E-mail
Emergency contact *
Emergency contact phone *
Age Over 18? *
If you're under 18, we'll need a guardian to sign a waiver for you
Language you're interested in learning *
For language classes and workshops
Level of language learning
Clear selection
Dietary needs
Are you vegan or gluten-free? Food allergies?
Do you need transportation?
We often can work out carpooling from larger cities such as New York City
Clear selection
Can you provide transportation to others?
Clear selection
If you can provide transportation: how many people could ride with you?
Do you have access needs or will you need a bed to sleep on? If so, please let us know.
Why do you want to participate in the Spanish for Activists Camp?
This helps the organizers plan the schedule according to participant interest.
Are you planning to attend with children?
If there is sufficient interest, we will plan separate children's activities.
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If you're attending with children: how many and what age(s)?
Parents/guardians: please consider taking part as chaperones for a portion of the weekend as needed.
Payment options
The sliding-scale cost is $120-$200 for the three-day camp.  It includes: indoor sleeping space/camping, meals, language classes, workshops and entertainment.  The cost is $80-$100, without language classes.  A $50 deposit is due by June 21.  Full payment is due ASAP, or at the latest, upon arrival.
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Do you have any other questions or comments?
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