Réamhchúrsa Ardteistiméireacht - Dianchúrsa Gaeilge dóibh siúd ag déanamh an chúrsa Ardteistiméireachta i Samhradh '23 / '24. Pre-Leaving Certificate Course - Intensive Irish course for those sitting the Leaving Certificate in summer '23 / '24.

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Is gá gach ceist a fhreagairt. Seolfar na sonraí bainc chuig an ríomhphost tugtha thíos nuair atá an fhoirm seo líonta. Seolfar sonraí an chúrsa coicís roimh ré. Má tá aon fhadhb agat, déan teagmháil le bainisteoirccrc@gmail.com.
All questions must be answered. Bank details will be sent to the email address provided below, when form is completed. Course details will follow 2 weeks prior to the course. Should you have any queries, contact bainisteoirccrc@gmail.com.

Email *

Ainm an Dalta (Student's Name) *

Seoladh (Address) *

Dáta Breithe (Date of Birth) *

YYYY

Aois (Age) *

Ainm na Scoile (School's Name) *

Eolas Sláinte & Eolas Pearsanta (Health Information & Personal Circumstances) *

e.g - Medical Conditions, Medication, Allergies, Dietary Requirements, Family Illness, Separation etc.. (This information will be treated with discretion)

Ainm & Uimhir Teagmhála an Tuismitheora (Parent's Name & Contact Number) *

Ainm & Uimhir Éagandála (Emergency Contact Name & Number) *

Seoladh ríomhphost an Tuismitheora (Parent's Email Address) *

Cén bhliain i Meán Fómhar '22? (Year in Sep '22?) *

5ú Bliain (5th Year)

6ú Bliain (6th Year)

Cén leibhéal? (What level?) *

Gnáth leibhéal (Ordinary Level)

Ardleibhéal (Higher Level)

Cead pictiúir / Físeáin a ghlacadh (Permission for taking photos / Videos) *

An dTugann tú cead dúinn pictiúir / Físeáin a ghlacadh do do pháiste(í) chun úsáid in ábhar poiblíocht m.sh ar na meáin, bróisiúir srl..? (Do you give permission for us to use photos / Videos taken of your child(ren) for promotional materials e.g social media, brochures etc..?)

Tugaim Cead (I do give Permission)

Ní Thugaim Cead (I Don't give Permission)

Conradh Gaeilge *

Tuigimse & mo pháiste gurbh í an Ghaeilge an phríomhtheanga atá ar an gcúrsa. Caithfidh gach páiste iarracht a dhéanamh Gaeilge a labhairt an t-am ar fad.Déanfar teagmháil le Tuismitheoir/Caomhnóir mura ndéantar iarracht Gaeilge a labhairt. My Child and I understand that Gaeilge is the first language spoken on the course. All children must make an effort in speaking Gaeilge at all times. Parents / Guardians will be contacted if children insist on speaking English. Measures will be taken to encourage and ensure Gaeilge is spoken.

Aontaíonn muid (We Agree)

Ní Aontaíonn muid (We don't Agree)

Síniú an Tuismitheor / Caomhnóir (Parent's / Guardians Signature) *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms