Heritage and Lesser-Taught Language Summer Camp Application Form
Summer Camp
Please select one
*
Please Select
Chinese for beginners in DKIT (Dundalk)
Chinese for beginners in SETU (Waterford)
Italian for beginners in University of Galway
Lithuanian for heritage speakers in Monaghan
Type of Summer Camp
*
Please Select
Heritage Language
Lesser-Taught Language
Heritage language camps are for students who speak the language at home, and lesser-taught language camps are for complete beginners.
Student's Information
Student's Name
*
First Name
Last Name
Date of Birth
*
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Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
Other
Year Group in May 2025.
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Please note 3rd year students will only be able to do a summer camp if it is the last two weeks of June and the student does not do Applied Technology as the exam is on Monday 16th June.
School Name
*
School Address
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Street Address
Street Address Line 2
Town
County
Eircode
Parent/Guardian's Information
The parent/guardian listed below will also be the primary emergency contact person.
Name
*
First Name
Last Name
Mobile Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
Town
County
Eircode
Email address
*
Medical Information
Does the student have any allergies? If yes, please list them below:
Does the student have any special requirements? If yes, please explain them below:
Payment Details
This summer camp is fully funded by Languages Connect, however payment of the refundable deposit (€150) is required at booking. The deposit is to ensure students arrive on time and attend for the full two weeks. Students who arrive late or miss one or more days, unless there is a valid reason such as sick leave, will lose the full deposit. Deposits will be returned after the summer camp coordinator has submitted the attendance sheet to Post Primary Languages Ireland (PPLI) / Languages Connect.
Method of Payment
*
Please Select
Credit Card
Debit card
My Products
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Two Weeks
€
150.00
Refundable deposit
Total
€
0.00
Authorization
I give authority to the staff of this summer camp to apply judgment in regards to medical assistance in the event of an accident, injury, or illness if the emergency contact person cannot be reached. I authorize first aid, medical/surgical diagnosis, and treatment which may be deemed necessary.
I consent to photos and video clips to be taken for PPLI/Languages Connect to be used for the purpose of promotion of summer camps.
I consent to contact details being held by PPLI/Languages Connect for up to 6 years so that PPLI can follow up in relation to Leaving Cert subject choices and potentially subjects studied at third level.
Parent/Guardian Signature
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Submit
Print Form
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