Coláiste na nOileán
Ainm/Name *
Inscne/Gender *
Required
Seoladh Baile / Home address *
Dáta Breithe / Date of Birth *
MM
/
DD
/
YYYY
Parents Name *
Parents Mobile Number *
Parents Email address *
Course details, receipts etc.. will be sent to the email address given here
School Name *
School Address *
Ainm do mhúinteora Gaeilge/Irish teachers name *
Bliain/Current school Class or Year *
Course Choice (See dates in next section) *
Friends you wish to be accommodated with (if possible):
Was the student named above booked on a course with Coláiste na nOiléan last year (Summer 2020) ? (Loyalty discount offered to students who applied last year, details sent by email) *
Required
Name and contact number for person who will take responsibility for student if parent is uncontactable: *
Parents/Student consent & acceptance: I have read the rules and conditions on the college’s website & I understand & accept them: *
Any recurrent illness/allergy/diet requirements please give details
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