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Rang Gaeilge 2021-22
FOIRM CLÁRÚCHAIN na Cultúrlainne - Rang Gaeilge
Irish language class REGISTRATION FORM
Coláiste an Phobail - Cultúrlann Uí Chanáin
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Email
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Your email
Ainm / Name
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Your answer
Seoladh Poist / Address
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Your answer
Uimhir Teagmhála / Contact number
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Your answer
An bhfuil riachtanais foghlama faoi leith agat? Do you have any special learning requirements? If so, please give details.
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An íocann tú an táille laghdaithe nó an táille iomlán? Do you pay the reduced or the full fee?
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FULL
REDUCED
LEIBHÉAL Ranga / Class LEVEL
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MÚINTEOIR / TEACHER
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LÁ - DAY
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AM - TIME
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