Booking Form

Booking Details

Name of student attending the seminar:______________________________________________

Address:_________________________________________________________________________

Email:___________________________________________________________________________

Phone No.:_____________________________________________________________________

School:________________________________________________________________________

Year:__________________________________________________________________________

Teachers name:_________________________________________________________________

Please circle/delete as appropriate for your booking:

Dublin                                Cork                    Galway

Junior Certificate             Leaving Certificate           Applied

To book send fee, with S.A.E ( stamped addressed envelope) and this form to

For Dublin & Galway courses:                                          For Cork Courses:

Education Workshop                                                         Education Workshop

43 Townparks                                                                    7 River view

Skerries                                                                              Hazel Wood   

Co Dublin                                                                          Glanmire

                                                                                           Co Cork