Book Your Place

APPLICATION FORM

"*" indicates required fields

Student Details

Please enter the personal details of the student below, fields marked with an * are required.

Student Name*

First Last

Gender*

Male

Female

Home Address*

Eircode

Contact Phone Number*

Student Mobile No.

Parent Mobile No.

Email Parent*

(This will be the email address used for correspondence )

Email Student

Student Date of Birth*

(Students must be between 10-18 years of age at the start of the course date)

School Details

Please enter details of your school and any college attended previously

School*

School Address*

Class/Year*

Please enter student’s present class/ year group in school

Name of Irish Teacher*

Irish College at which you previously attended and Dates?

Past Pupil

Are you a past pupil of Coláiste Ó Direáin?

Course Details

Choice of Course*

Please choose your preferred course

Second Choice of Course*

Your preferred course may be unavailable, so please select your next alternative course.

Discount

Travel

(includes Coach and Boat return fare)

Guesthouse

Guesthouse of your choice if there is room. To be completed only by past pupils. Preferred Guesthouse cannot be guaranteed.

Friend

Name of one friend you wish to be accommodated with.

Emergency Contact Details

Please enter details of your emergency contact and any medical issues we need to be aware of:

Emergency Contact

If parents are away during course state the name and telephone number of person who would be responsible for child / children in case of emergency.

Emergency Contact Telephone

Medical Details

Information on any health problems the applicant might have. (All medical fees are the responsibility of parents or guardian)

Medical Card No

Please note that all medical expenses are the responsibility of the parent/ guardian. Parents are advised that it is in their interest to have Personal Accident Insurance. (If you have a current medical card send copy of same with application.)

Acceptance & Payment

A €100 Booking Deposit is payable on application. An email will be sent to you with information on how to make your payment along with a reference number which must be used in all correspondence.

Parent / Guardian Name*

First Last

Parent / Guardian Acceptance*

Tick the box to denote acceptance of the College Rules

Acceptance Confirmed

Method of Payment*

Name

This field is for validation purposes and should be left unchanged.

“Our Sincere thanks for looking after Eoin on his first trip to Coláiste Ó Direáin. Please convey our gratitude to your teachers and all who contributed to the success. He is already looking forward to returning next year.”

Eoin. Dublin.

“Hi Sean and all the team at Coláiste Ó Direáin. Just to say thank you for looking after my daughter for the past three weeks she spent with you. She arrived back full of stories having had a brilliant time. Well done to you all.”

Ann. Co Louth.

“Just a quick note to thank you for taking care of my son Paul while he attended the college recently.He had a wonderful time and really enjoyed every minute of his stay. Already he is looking forward to a return visit next year.”

Paul. Kildare.

“Myself and my husband visited the Island on Sunday 7th July to see Patrick. We had a lovely visit, we cycled, visited Dún Aonghasa, had a swim and some lunch. You definitely have something special on Inis Mór. I have already recommended Coláiste Ó Direáin to my younger niece.”