Registration Form

Irish Language and Culture Weekend
October 11-13, 2019
Madison, Wisconsin

Please print this form and send to Celtic Cultural Center, PO Box 260037, Madison WI 53726-0037. Thanks!

Name:

Address:

Work phone:

Home phone:

E-mail:

Lodging (see "Cost / Accommodations"):

____ I am planning to stay at the Lowell Center, and have contacted them for room reservations.

____ I will be staying elsewhere during the weekend.

Please indicate your level of Irish by circling one of the following:

• Complete Beginner: have no idea what I am getting myself into.
• Have studied a little bit on my own or have attended other workshops.
• Have taken formal classes before, but I am a bit rusty.
• I know quite a bit of grammar, but my conversation skills are weak.
• Could carry on a conversation about the weather, my favorite pastimes, where I live, what I do.
• Feel pretty confident, as long as the other person doesn't speak too quickly.
• Líofa

To register for the weekend, please mail the completed registration form along with payment in full to guarantee your reservation. Payment is due by September 25, 2019 unless special arrangements are made by contacting Dineen (dineengr [at] gmail.com). Checks should be made payable to the Celtic Cultural Center of Madison and mailed to: Celtic Cultural Center, PO Box 260037, Madison WI 53726-0037. Sorry, there are no refunds available after September 30, 2019.