Please provide the following contact information:

Name
Street Address
Address (cont.)
Town/Suburb
State
Postcode
Phone
E-mail

Do you have a preferred Irish version of your name?

Do you have any special dietary requirements (for example, vegetarian)?

For which nights do you require us to arrange accommodation for you?

3 nights (Fri, Sat & Sun)
Friday
Saturday
Sunday
None

Do you require a meal on Friday night (an extra charge of $10 applies)?

Yes No

Do you require a receipt mailed to you in May, along with further information about the Winter School?

Yes No

What is your standard of Irish now?

Complete beginner
A few words and phrases
Reasonable vocabulary, but cannot converse
On the brink of conversation
Is féidir leat an dallamullóg a chuir ar dhaoine maidir leis an méid líofachta a bhfuil baint amach agat.