PISK Szalone Lato Application Form | 2012 Roncesvalles Polish Festival

First Name *

Last Name *

Phone Number *

Email Address *

Emergency Contact Name *

Emergency Contact Number *

University/College (if applicable)

Food allergies (please list)

Date of Birth

Health Card Number

Optional

Accomodations

I have my own accommodations.

I will be staying with the Festival's accommodations at Global Backpackers Hostel.

Organization

I am a member of a Polish club or organization.

I am a member of PISK.

I do not belong to any Polish club or organization.

Organization

Please list any Polish clubs or organizations you belong to.

Please check one:

I am coming by myself

I am coming as part of a group

Specify

Please specify what group you are coming with.

Mailing List

I would like to be added to the PISK mailing list

I would not like to be added to the PISK mailing list

If you click yes, you will receive occasional information about current Polonia events in the community.

Event Registration

Fri. Sept. 16 @ 4:00 | Snacks and Icebreakers/Workshops on Community Leadership | SPK (206 Beverley Street)

Fri. Sept. 16, 8:30 - 1:00 a.m. | Summer Sensations Dance Party | High Park Club, 100 Indian Road

Sat. Sept. 17 @ noon | Festival Harvest Parade | Roncesvalles Ave.

Sat. Sept. 17 @ 2:00 | Best Kielbasa In Town | PISK Stage

Sat. Sept. 17 @ 4:00 | Mr. Polonia Contest | PISK Stage

Sat. Sept. 17 @ 6:30 | YPCPA Summer Social (with appearance by Anna Cyzon) | Fat Cat Wine Garden

Sun. Sept. 18 @ 11:00 | Roncesvalles Amazing Race

Sun Sept. 18 @ 7:00 | Screening of "Red" by Kieslowski | Revue Cinema (400 Roncesvalles Ave.)

Please indicate which events you are interested in attending.

Payment Form

Accommodation at Global Backpackers, Fri. Sept. 16 2011 ($23)

Accommodation at Global Backpackers, Sat. Sept. 17 2011 ($23)

Discount Admission to Summer Sensations Dance Party ($10)

Szalone Lato z PISKiem Official Tshirt ($10)

Sun. Sept. 18 @ 11:00 | Roncesvalles Amazing Race

Please indicate which events you are interested in attending.

Total

Please enter the total payment due.

Tshirt Size

Please select a Tshirt size if purchasing.