UISCE Online Booking

Application form for Gaelcholáiste Mhaigh Nuad

Student Details/ Sonraí an Dalta

Gender/ Inscne*

Student First Name/ Ainm*

Student Surname/ Sloinne*

Student Date of Birth/ Dáta Breithe*

DD/MM/YYYY

Address line 1/ Seoladh*

Address line 2

Town/ City / Baile/ Cathair*

County / Contae

Country/ Tír*

School Details/ Sonraí Scoile

Class (current school year)/ Bliain*

If you are booking in June or July please state the school year just completed

Your next State Exam / Scrúdú Gaeilge*

School Name/ Ainm Scoile*

Irish Teacher/ Múinteoir Gaeilge

Course Information / Sonraí an Chúrsa

Health issues/ Allergies/ Medication Requirements / Sláinte/ Ailléirge/ Leigheas

Special Dietary Requirement or food allergies / Riachtanais Bhia

Can you swim/ Cumas snámha*

Friend/ Cara

Do you have a friend (maximum 1) that you would like to share accommodation with? (please note forms must correspond)

Special requirements/ Riachtanais faoi leith

How did you hear about UISCE?*

Photography Policy
During our courses, we take photographs for Social Media so that students have access to them on completion of their course. Sometimes these images are used for marketing and promotional purposes. UISCE is in compliance with the code of ethics guidelines for best practices. Please choose the 'Yes' option if you would like your child to be included in photography taken by UISCE.*

Do you wish your child to attend Roman Catholic religious services?

Yes - Tick box

Parent Details/ Sonraí Tuismitheora

Parent First Name/ Ainm*

Parent Surname/ Sloinne*

Parent Email/ Ríomhphost tuismitheora*

This will be your login name on this site

Mobile number/ fón póca theagmhála*

(required for emergency contact only, e.g. 353861234567)

Emergency Contact Details / Sonraí Éigeandála

Emergency contact first name/ Céad ainm an teagmhálaí éigeandála*

(in event of parent being uncontactable)

Emergency contact surname/ Sloinne an teagmhálaí éigeandála*

Emergency contact phone number/ Uimhir an teagmhálaí éigeandála*

Terms and Conditions / Téarmaí agus coinníollacha

Click here to confirm that both Student and Parent/Guardian have read and accept the Booking Terms and Conditions and Refund Policy above*

Click here to agree to Code of Conduct*

Travel Information / Sonraí taistil

Travel to Uisce

Travel from Uisce

Payment Details/ Sonraí íocaíochta

Payment Amount*

Voucher Code

Voucher codes are case sensitive

Personal Pupil Accident Insurance

Students are advised to take out their own personal accident insurance before coming on the course. To avail of the cover please tick here (subject to our ability to obtain adequate cover)

Preview Payment

Course/ Cúrsa: Gaelcholáiste Mhaigh Nuad (2024, elly, colaiste)
Course Cost/ Costas an chúrsa: €210.00
Selected Payment Amount / Rogha Íocaíochta: €0.00
Travel to Uisce cost / Taisteal chuig Uisce: €0.00
Travel from Uisce cost/ Taisteal ó Uisce: €0.00
Insurance/ Táille Riaracháin: €0.00
Administration Fee: €0.00
Discount/ Lascaine: -€0.00
Amount Payable/ Iomlán le híoc: €0.00

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