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English & Cultura sulla Wild Atlantic Way
English & Esperienza Lavorativa sulla Wild Atlantic Way
Sostenibilità, Azione per il Clima & Apprendimento Basato su Progetti nell’Educazione
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Esperienza di Ripristino in Inglese e Natura
Immersione in inglese e surf per adulti
Corso di inglese per adulti con equitazione sull’Oceano Atlantico
Esperienza “English On The Atlantic”
Programma di immersione in inglese nell’Atlantico per adulti
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Junior English, Surf & Avventura in Irlanda
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Junior Enrolment Form
Personal Information
You can complete all of your enrolment details in the simple form below. It is very important that you first read our Junior Course Fees document. Please make sure the course you select is available for the dates you require and take a note of any additional fees and our terms and conditions. Once your form is submitted a member of our team will check your details before sending final payment instructions. If you have any questions at all please contact us.
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Name of person making the booking:
Phone Number for person making booking:
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Main contact Email
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Name of Junior
Phone number for Junior
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Child's Gender
Male
Female
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Date of Birth
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How many people are travelling in your group?
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Names of people travelling in group?
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Nationality
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Home Address
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Have you been vaccinated?
Yes
No
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Are you in good health?
Yes
No
Details of medical conditions & medication | Details of allergies, physical or dietary restrictions | Details and scale of any special learning needs | Details such as mental health issues
Course Information
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Course Start Date
Course End Date
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Number of weeks:
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Which course would you like to take?
Junior English & Surfing
Junior English & Riding
Junior English & Multi Activity
Junior English & Riding/Surfing
Junior English, Surfing & Multi Activity
Junior English, Riding & Multi Activity
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What is your level of English?
Beginner - I don't understand or speak English
Elementary - I can say a few basic things
Pre-Intermediate - I can speak a little on most subjects
Intermediate - I can understand conversations and speak well
Upper-Intermediate - I can speak confidently and quickly with a few mistakes
Advanced - I speak fluently with very few mistakes
If you are surfing what is your level?
Beginner
Intermediate
Advanced
If you have chosen Riding, what is your level? Please be aware that you will need to have at last 10 riding lessons prior to coming
Novice Rider - Can walk, trot & canter
Intermediate Rider - Walk, Trot Canter & course of fences 60cm. Rides at least once a week
Advanced Rider - All paces jumping course over 80cm has ridden in open country. Rides at least once a week.
How long have you been riding/surfing
How often do you ride/surf?
Other riding experience?
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Your Weight
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Your Height
Accommodation
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Do you require accommodation?
Junior Residential
Homestay
With my family
I will make my own arrangments
If Homestay is selected, please provide any special requirements and give a short introduction of yourself.
If arranging your own accommodation, please provide details
Travel Information
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Do you wish to be collected from the airport?
Yes please
No thanks
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Arrival location, date, time and flight number (if applicable)
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Do you wish to be dropped off at the airport?
Yes please
No thanks
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Departure location, date, time and flight number (if applicable)
Important Information
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Emergency Contact Name:
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Relationship to Student
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Emergency Phone:
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Emergency Email:
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Name of person who will be making payment
Are you a returning student?
Yes
No it's my first time going to DELS
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Where did you hear about us?
If your booking is through an Agent please indicate the name of the Agent
If you are carrying your booking forward please give us the original invoice number
*
Please tick to agree to our terms and conditions
I Agree
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