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Children & Teenagers Pre-Registration Form
Bonjour ! Please fill out and submit this form to sign up!
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1
Your name (parent or guardian)
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Your first name
Your last name
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2
Your phone number
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3
Your email address
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4
Your home address
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This is for billing purposes.
Adresse de la rue
Adresse de la rue (2ème ligne)
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Philippines
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Switzerland
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Tajikistan
Tanzania
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Tokelau
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Tunisia
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Turks and Caicos Islands
Tuvalu
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Uruguay
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British Virgin Islands
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US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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pays
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5
Would you like classes for...
your child / children
your teenager(s)
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6
Which class would you like to register your child for?
*
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Children, playschool to Senior Infants, Wednesdays
Children, 1st, 2nd and 3rd classes, Thursdays (level 1)
Children, 4th, 5th and 6th classes, Tuesdays (level 1)
Children, 4th, 5th and 6th classes, Thursdays (level 2)
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7
Which class would you like to register your teen for?
Teenagers, Junior Cert Preparation, Mondays
Teenagers, 5th year / TY, Tuesdays
Teenagers, Leaving Cert Preparation, Wednesdays
Private classes
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8
Your child's name
*
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First name
Last name
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9
Your child's date of birth
*
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-
Date
Jour
Mois
an
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10
Gender
Male
Female
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11
What class/year is he/she in, in which school?
For Leaving Cert students, please note Higher or Ordinary level.
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12
First language / Home language
This is because the language you speak at home can have an influence on learning French!
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13
Does your child have any medical conditions we should know about?
*
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Including any allergies or special diet (we can do baking with children)
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14
Does your child have any special educational needs (ie. dyslexia)?
*
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15
Your payment method
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We will email you the payment details, or payment secured link if you wish to pay by card.
Bank transfer
Debit / Credit Card
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16
Would you like to sign up for our newsletter?
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Be the first to know about our special events (workshops, book clubs, cinema nights...), enrolment, competitions & our news. Promise, it's only once a month!
YES
NO
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17
Do you agree with our terms and conditions?
*
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18
How did you find us?
Search engines (Google, Bing...)
Facebook
A friend told me about the school
I saw a poster in town
Instagram
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19
Do you have any questions or remarks for us?
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