Buchungsformular

Full Name*
Vorname Nachname
Gender*
Other

If you selected other in gender, please specify gender here
Address*
Anschrift Anschrift Zusatz Ort Bundesstaat / Provinz / Region PLZ Land
Phone*
Email Address*
E-Mail eingeben E-Mail bestätigen
Date of Birth*
TT Bindestrich MM Bindestrich JJJJ
Nationality
I would like to apply for the following course(s)*
- General English Group Course Intensive (Minimum age: 16, summer 18)
- General English Group Course Intensive Plus 4
- General English Group Course Intensive Plus 10
- General English Group Course Intensive plus FCE exam preparation
- General English Group Course Intensive Plus Job Application Skills Training
- General English Group Course Intensive Plus Slaney Book Club
- Academic Year 25 Week Programme (ILEP)
- Cool Kids Course (5 to 10 year old students) Family Course
- Keen Teens Course (11 to 17 year old students) Family Course
- Easter and Summer Programme for Teenagers
- Teacher Refresher Course - Erasmus Plus
- Theory and Practise of CLIL for Teachers - Erasmus Plus
- One-to-one Course (20 lessons per week)
- One-to-one Course (30 lessons per week)
- Two-to-one Course (20 lessons per week)
- Two-to-one Course (30 lessons per week)
- Business English for Executives
- General English Morning Classes - Part Time
- General English Evening Classes - Part Time
- Cambridge English: First (FCE) Exam Preparation Evening Classes - Part Time
- English and Golf Programme
- Course as individually arranged with the Slaney Language Centre
- Secondary School Placements
- English and Internship Programme
- English and wwoofing
- Other
Other
Further Requirements
Knowledge of English
- Beginner (little or no English) - Only accepted for one-to-one courses
- Elementary (sound knowledge of basic structures)
- Intermediate (studied English for several years)
- Advanced (well developed communicative skills both formally and informally)
Further Information
I would like to book the following accommodation
- Full board family stay (single room)
- Full Board Family Stay (single room with private bathroom – limited availability)
- *Full Board Host Family Stay (room sharing with a friend)
- Full Board Family Stay (sharing room & private bathroom with a friend)-limited availability
- Self Catering Family Stay (single room)
- Self-catering Accommodation as arranged with the SLC
- Accommodation (B&B Hotel) as arranged with the SLC
- None
*Name of Friend
Other relevant information (e.g. accommodation details, special diets etc.)
I would like to begin my course on:
TT Schrägstrich MM Schrägstrich JJJJ
I would like to study for a period of weeks:
I would like accommodation from
TT Schrägstrich MM Schrägstrich JJJJ
I would like accommodation to
TT Schrägstrich MM Schrägstrich JJJJ
Please book a taxi for me from
Please book a taxi for me on date
TT Schrägstrich MM Schrägstrich JJJJ
Please book a taxi for me on that date at this time
Flight number
Please send me further information about bus and train connections from Dublin to Wexford.
- Yes
Meet and Greet Service from the Arrivals Hall at Dublin Airport to the coach park (EUR 35). We recommend this service to under 18 year old students travelling on their own.
- Meet and Greet on Arrival
- Meet and Greet on Departure
Please book the following Insurance for me:
- Standard Medicover Insurance
- Multirisk and Cancellation Insurance including Covid
Please book the following course book (We buy books back for €15 if in good condition)
- Second hand course book €20
- New course book €40
I would like to book the Slaney Language Centre Programme of Activities and Excursions (Easter, July and August only)
- Yes
1. Please pay a booking deposit of EUR 200 within a week’s time
2. Full payment must be made to our bank after receipt of invoice and the balance 3 weeks before commencement of course
3. Bank Details: Will be provided when you register.
How did you hear about The Slaney Language Centre?
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Please check the boxes if true*
- I have read and understood the Terms & Conditions laid down by The Slaney Language Centre.
- I have read and I agree with Privacy Policy
- I have familiarized myself with all Slaney Language Centre Policies
Name
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