1Contact Details2School Details3Parent / Guardian Details4Other Details5Terms & Conditions Preparation Course for Leaving Cert Irish Oral - Leaving CertX4: 21 November 2020-20 February 2021 | €50 deposit | €250 totalAmount you are paying now: €54 (includes a €4 online booking fee)This is for 3 Saturdays (21st Nov 2020, 23rd Jan 2021 and 20th Feb 2021). Test BookingContact DetailsName* First Name Surname Gender* Male Female Date of Birth* DD slash MM slash YYYY AgeIf the age is incorrect please correct the date of birth fieldAddress* Street Address Address Line 2 City County*CarlowCavanClareCorkDonegalDublinGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryWaterfordWestmeathWexfordWicklowEircode*Parent's Email* Enter Email Confirm Email Please enter the Parent's email address to receive booking confirmation. Please note that all correspondence will be through e-mail unless otherwise stated.To ensure you receive all our correspondence regarding your upcoming course, please try to avoid using Hotmail, or company emails. Preparation Course for Leaving Cert Irish Oral - Leaving CertX4: 21 November 2020-20 February 2021 | €50 deposit | €250 totalAmount you are paying now: €54 (includes a €4 online booking fee)This is for 3 Saturdays (21st Nov 2020, 23rd Jan 2021 and 20th Feb 2021). Name and Address of School*Class at Present*3rd Class4th Class5th Class6th Class1st Year2nd Year3rd Year4th Year5th Year6th YearState when doing Leaving Cert*201820192020202120222023202420252026202720282029203020312032Are there other siblings attending a course this year? If so, please state their name, and course.If there are other siblings attending a course this year would you like us to accommodate them together? (If possible)NoYes Preparation Course for Leaving Cert Irish Oral - Leaving CertX4: 21 November 2020-20 February 2021 | €50 deposit | €250 totalAmount you are paying now: €54 (includes a €4 online booking fee)This is for 3 Saturdays (21st Nov 2020, 23rd Jan 2021 and 20th Feb 2021). Parent / Guardian Name*Contact Number 1*Contact Number 2*This must be a different number from Contact Number 1In an emergency state the name and telephone of person who may be contacted* Preparation Course for Leaving Cert Irish Oral - Leaving CertX4: 21 November 2020-20 February 2021 | €50 deposit | €250 totalAmount you are paying now: €54 (includes a €4 online booking fee)This is for 3 Saturdays (21st Nov 2020, 23rd Jan 2021 and 20th Feb 2021). Have you attended a Colaisti Chorca Dhuibhne course beforeNoYesWhen did you attend previous course?*How did you hear of this course*TeacherLeafletFriendNewspaper etcVideoGoogle SearchYoung scientistOtherOther Source* Friends - Maximum of four students per group. - Friend group names must corroborate. Groups larger than four will be divided at the discretion of the Accommodation manager. Accommodation will be randomly allocated if no names are written in. Changes may be considered up to one month prior to course commencement. While we will do our utmost to ensure to accommodate a group together, we cannot guarantee that you will be placed with all names mentioned in your form. Friend 1Enter 1 name onlyFriend 2Enter 1 name onlyFriend 3Enter 1 name onlyPlease add any Dietary or Health requirements here:Please feel free to contact us in the lead up to the course should this need to be updated.Other notes/ requestsPlease feel free to contact us in the lead up to the course should this need to be updated.Health Insurance / Medical Card NumberDo you accept images may be used for our social media, and for promotional purposes?YesNo Preparation Course for Leaving Cert Irish Oral - Leaving CertX4: 21 November 2020-20 February 2021 | €50 deposit | €250 totalAmount you are paying now: €54 (includes a €4 online booking fee)This is for 3 Saturdays (21st Nov 2020, 23rd Jan 2021 and 20th Feb 2021). I can confirm that my child is studying Irish as an exam subject in school, and I support the College policy of having Irish as the spoken language on this course, and can confirm that my child is committed to speaking Irish at all times, during their course.* Yes I Accept the Terms & Conditions and Cancellation Policy* Yes Click here to read the Terms & Conditions Click here to read our Cancellation Policy Δ
