Registration

Part 1 of 4 - Personal Details

Your Name (required)

Your Gender: MaleFemale

Your Email (required)

Your Address

Tel

Date of Birth

Parent / Guardian Names

Mobile No

Special Needs - Please specify any special requirements

Part 2 of 4 - Travel Details

Arrival Date:
Arrival Time:
Arrival Flight No:
Transfer In from Airport to Bray Required? Yes

Departure Date:
Departure Time:
Departure Flight No:
Transfer Out from Bray to Airport Required? Yes

Part 3 of 4 - Parents / Guardian Consent

Minors [ those under 18 years of age ] require parental / guardian permission to go out in the evening unaccompanied. The authorisation to go out in the evening unaccompanied must be approved by a parent / guardian in the space provided below.

All students must return to the host family home no later than 10:00 p.m. Bray Language Centre do not accept any responsibility in respect of the student’s failure to re-enter the family home at the prescribed time.

Your Consent: Yes

Part 4 of 4 - Rules for Parent / Guardian and Student
I the undersigned declare to have read, understood and accepted all the Student Rules of Bray Language Centre.

Copy of Rules - see below.

Guardian: Yes
Student: Yes

Payment details will be e-mailed to you.

Input this 4 digit code, not case sensitive, in box below then click Send button: