2019 Irish Gaelic Class Registration Form
Please use this form to register for the beginner Irish Gaelic class taught through the Knoxville Irish Society. All students are required to be members of the Knoxville Irish Society. If you still need to become a member, please go to
www.knoxvilleirish.com/join
. If you need help or have any questions, please email us at
info@knoxvilleirish.com
. Go raibh maith agat! Thank you!
* Required
Name of Student (First Last)
*
Your answer
Address
Your answer
Email Address
*
Your answer
Primary phone
*
Please indicate Mobile/Home/Work/Other
Your answer
Other phone
Please indicate Mobile/Home/Work/Other
Your answer
Membership in Knoxville Irish Society
*
To take the class, you must first be a member of the Knoxville Irish Society. If not, please go to
http://www.knoxvilleirish.com/join.html
to join.
I am a member of the Knoxville Irish Society.
I will become a member of the Knoxville Irish Society before the second week of class.
Please choose one of the following:
*
I am at least 18 years of age.
I am under 18 and have my parent or legal guardian's permission to participate in this course.
I am under 18 and do not have my parent or legal guardian's permission to participate in this course.
I have a different situation than those above and would like to speak with the instructor.
Comments, questions, or concerns for the instructor:
You'll receive an email response at the address you provide above. If you'd prefer a phone call, please mention that. We look forward to helping you succeed in this class!
Your answer
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