ICC Music and Literature Class Registration 2019
Check Website for course dates.

Privacy: Your data will not be shared with any external agencies and will be seen only by staff and tutors of the Irish Cultural Centre Hammersmith.
登入 Google 即可儲存進度。瞭解詳情
電子郵件 *
Name: *
What class would you like to register for? *
Address:
Date of Birth (dd/mm/yyyy):
Telephone Number: *
Occupation:
Is this your first time participating in the Irish Cultural Centre Education Programme?
清除選取的項目
If you answered 'No' to the last question please tell us which class:
Are you Irish Born?* *
*Not a requirement
Are you of Irish descent?* *
*Not a requirement
How did you hear about the centre?
How would you like to pay? *
Paypal link will appear for everyone once submitted regardless of answer.
Do you accept the terms and conditions as stated below: *
未命名圖片
I confirm, by signing below, that I have read and accepted the terms and conditions of subscription and participation in the ICCH Ltd Education Programme* and all information given is up to date and correct. *
Please sign by typing name and date.
未命名圖片
系統會透過電子郵件將你的作答內容複本傳送到你所提供的地址。
提交
清除表單
請勿利用 Google 表單送出密碼。
這份表單是在 Irish Cultural Centre Hammersmith 中建立。 檢舉濫用情形