TEST ONLY Book TY from September 2016

Sonraí an cúrsa | COURSE DETAILS

Code: TY
Description: Transition Year

COURSE | CÚRSA

Duration (One Term or Full Year:

PARENT / GUARDIAN | TUISMITHEOIR / CAOMHNÓIR

First Name 1 | Ainm Baiste 1:

Surname 1 | Sloinne 1:

Street 1 | Seoladh:

Mother's maiden name | Ainm na máthar roimh phósadh :

Street 2:

Relationship to student:

Town/City:

County:

Country:

Phone (Work) |
Fón (Obair):

Phone (Home) |
Fón (Baile):

Mobile (for texts) | Fón Póca (do texts):

Email | Seoladh ríomhphoist:

First Name 2 | Ainm Baiste 2:

Surname 2 | Sloinne 2:

Street 1 Address | Seoladh:

Relationship to student:

Street 2:

Town/City:

County:

Country:

Phone (Work) |
Fón (Obair):

Phone (Home) |
Fón (Baile):

Mobile | Fón Póca:

Email | Seoladh ríomhphoist:

STUDENT | SCOLÁIRE

Student’s first name in Irish | Ainm Baiste:

Student’s surname in Irish | Sloinne:

Girl | Cailín Boy | Buachaill

Student's PPS No. | Uimhir P.P.S. an dalta:

Student’s date of birth | Dáta breithe:

Has or is the student attending a Gaelscoil? | An raibh nó an bhfuil an scoláire ag freastal ar Ghaelscoil?:

Yes | Sea No | Ní hea

Name of Present School | Ainm na scoile faoi láthair:

Address of Present School | Seoladh na scoile faoi láthair

School Roll Number | Uimhir rolla na scoile:

Any health matters we should know about? | An bhfuil aon fhadhb sláinte ag an scoláire?:

Yes | Sea No | Ní hea

If Yes please elaborate here:

Has your child received the MMR and MenC Vaccine ? It is a requirement of the HSE that all students attending a Gaeltacht course have the MMR vaccine (Measles, mumps and rubella) and the MenC (Meningococcal / Meningitis) vaccine. (Proof of vaccinations will be required prior to course commencement) :

Yes | Sea No | Ní hea

Any other interventions we should know about | Aon eolas eile gur cheart a bheith againn?:

Yes | Sea No | Ní hea

If Yes please elaborate here:

Who may we contact in the absence of access to parents/guardians | Sonraí teagmhála duine a bheadh freagrach as an scoláire in uair práinne agus tuismitheoir / caomhnóir as baile. By including the name(s)/contact details of other individuals in the fields below, you are confirming that you have gained their permission to do so.

Contact person’s name | Ainm an duine:

Contact person’s address | Seoladh:

Contact person’s phone number | Fón:

Where applicable, name one friend with whom your child would like to be accommodated. We try to facilitate such requests | I gcás go bhfuil uait a bheith ar lóistín le cara, ainmnigh an duine sin:

Other Information

Where did you hear about this Transition Year programme:

From time to time Coláiste na Rinne personnel take photographs during activites run by Coláiste na Rinne which could subsequently be used for marketing purposes. Please click the box below to grant or deny permission. | Ó am go ham tógann baill d'fhoireann Choláiste na Rinne grianghraif d'imeachtaí a eagraíonn an Coláiste agus d'fhéadfaí na grianghraif seo a úsáid mar chuid de mhargaíocht / fógraíocht an Choláiste.  Má thugann tú cead chuige seo, cuir tic sa bhosca thíos.:

Tugaim cead |
Permission granted Ní thugaim cead |
Permission denied

Do you permit Coláiste na Rinne to contact you occasionally regarding activities, events and / or language courses using the contact details you have provided here. An dtugann tú cead do Choláiste na Rinne teagmháil a dhéanamh leat ó am go chéile maidir le himeachtaí, gníomhachtaí agus cúrsaí Gaeilge sa Choláiste trí na sonraí teagmhála a thug tú ar an bhfoirm seo?:

Permission granted |
Tugaim cead Permission denied |
Ní thugaim cead

We have read and accept the Rules Regulations and Guidelines of Coláiste na Rinne | Glacaimid le rialacha agus coinníollacha an Choláiste faoi mar atá leagtha amach

Payment Method of €100 booking Deposit

Click here to confirm you have read all the information relating to the Payment Options and Terms and Conditions. This document contains important information.

Cheque, Postal Order or Bankers Draft Bank Transfer

Deposit: €100

Postal Order or Bankers Draft for €100 to:
Our address is: Coláiste na Rinne,
Rinn Ó gCuanach
Dún Garbhán,
Co. Phort Láirge.
Please ensure that you include a note with your payment stating clearly the name of the person for whom the deposit is being paid.

Deposit: €100

Postal Order or Bankers Draft for €100 to:
Our address is: Coláiste na Rinne,
Rinn Ó gCuanach
Dún Garbhán,
Co. Phort Láirge.
Please ensure that you include a note with your payment stating clearly the name of the person for whom the deposit is being paid.

Deposit: €100

Bank transfer of €100 to the account details below the student’s name as transfer reference::
Ainm an Bhainc: AIB, 3 T.F Meaghar Street, Dún Garbhán, Co. Phort Láirge.
Ainm an Chuntais: Coláiste Rinne DP
Uimhir an Chuntais: 02225-170
Cód Sórtála: 93-40-70 IBAN: IE53AIBK93407002225170
BIC AIBKIE2D