Irish Language Easter Camp Registration
Tue 22nd - Thu 24th April 2025. Please note: A separate form needs to be completed for each child attending the Easter Camp.
CHILD INFORMATION:
Please complete a separate registration for form each child.
Child Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Primary School class
*
Primary 3
Primary 4
Primary 5
Primary 6
Primary 7
Name of School
Please Select
Dromintee PS
Jonesborough PS
Meigh PS
Forkhill PS
Mullaghbawn PS
Cloghogue PS
Other
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Does your child have any existing Irish language knowledge? (Prior knowledge is not necessary. We just want to get a sense of your child's experience).
None
Basic words and phrases
Conversational
Additional Emergency contact
*
First Name
Last Name
Relationship to child
*
Phone Number for Additional Emergency contact
*
Please enter a valid phone number.
Format: (000) 000-0000.
MEDICAL INFORMATION
Does your child have any medical conditions or take any medication that we should know about?
*
Yes
No
If Yes please provide details below.
Does your child have any dietary requirements or allergies?
*
Yes
No
If Yes please provide details below.
Does your child have any access or disability needs?
*
Yes
No
If Yes please provide details below.
We will be taking photos at the Easter Camp to share news about the camp and to publicise the work of the Naiscoil. Images may be used in press releases, funding reports and published on our Facebook Page. Do you consent to photos of your child participating in the Easter Camp activities to be utilized as described above?
Yes
No
My Products
prev
next
( X )
1st Child - Irish Language Easter Camp place
Enter description
£
35.00
Quantity
1
Subsequent child/children - Irish Language Easter Camp place
£
30.00
Quantity
1
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Save
Submit Registration Form
Should be Empty: