Leir Language Academy

Contact Us
Please feel free to contact us with any questions, thoughts or comments and we will gladly respond without delay, we are always delighted to help and advise in any way we can. If you’d like to know more about County Kildare or wish to contact either Peter or Rosa personally please email us directly.
Full Name*

First NameLast Name
Address*

Address

Street Address Line 2

Town / CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country CodeArea CodePhone Number
Contact email*

Confirmation Emailexample@example.com
Area of interest?*

English LessonsSpanish LessonsBecoming a Host Family (Ireland)Becoming a Host Family (Spain)Curso de VeranoCurso EscolarMini-Stay (School groups)Erasmus programsWork Placement programs
Your Nationality*
Spanish, French, German etc.
Message*
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Leir Education is committed to ensuring that your privacy is protected. Should we ask you to provide certain information by which you can be identified when using this website, then you can be assured that it will only be used in accordance with this Privacy Policy.
In line with Data Protection Laws & Recent GDPR regulations in order to submit this form you need to offer specific consent*

Yes
Enter message as shown*
Should be Empty:

Contact Us