Campa Samhraidh 2016 - Coláiste Lú
Foirm Iarratais do Champa Samhraidh Choláiste Lú 2016
Application Form for the Coláiste Lú Summer Camp 2016
Sonraí an Pháiste (Child's Details)
Ainm an Pháiste (Child's Name)
Your answer
Aois an Pháiste (Child's Age)
Your answer
Breithlá an Pháiste (Child's Birthday)
MM
/
DD
/
YYYY
Sonraí an Tuismitheora/Chaomhnóra (Parent/Gaurdian's Details)
Ainm Tuismitheora/Caomhnóra (Parent/Guardian's Name)
Your answer
Uimhir Fóin an Tuismitheora/Chaomhnóra (Parent/Guardian's Telephone Number)
Your answer
Ríomhphost an Tuismitheora/Chaomhnóra (Parent/Guardian's Email)
Your answer
Seoladh an Tuismitheora/Chaomhnóra (Parent/Guardian's Address)
Your answer
Riochtaí Sláinte (Medical Condiditions)
An bhfuil aon riocht sláinte ag an bpáiste? (Does the child have any medical conditions?)
Required
Ar mhaithe na sláinte agus sábháilteachta tabhair sonraí d'aon riocht sláinte atá ag an bpáiste le do thoil. (In the interest of health and safety please provide written details of any known medical conditions that the child has.)
Your answer
Grianghrafadóireacht ag an gCampa (Photography at the Camp)
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