Book Surfing

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Please make all cheques payable to “The French Sports and Language Centre Ltd., 26 Monkstown Avenue, Monkstown, Co. Dublin, Ireland.”

If you are purchasing a flight, please make the cheque payable to “Joe Walsh Tours, 143 Lower Baggott Street, Dublin 2″

Student Name (required)

Your Email (required)

Student Date of Birth (required)

Home Address

School Attending (required)

School Address:

Level of French (required)

Parent / Guardian Name(s) (required)

Home Tel

Work Tel

Mobile Tel

Does your child suffer from any known medical condition (diabetes, asthma etc.)?If yes please state condition.

Does your child suffer from any known allergies? If yes please state allergies.

If there is any other medical information relevant to your child please state here

Course Date

T Shirt Size

General Comments

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