Book a Language Course

Please contact us on +353 53 9134065 or fill out the form below.

Fields marked with [ * ] are required to complete the form.

Your Name

Title

First Name *

Last Name *

Your Contact Details

Your email *

Your phone number *

Your Address

House number and street name *

City / Town*

State / County *

Postcode *

Country *

Student’s Details

Student’s Name *

Student’s Date of birth

Day *

Month *

Year *

Age of the student when attending to the course

Sex of the student Male
Female

Nationality

Do you have any medical conditions, allergies or special dietary requirements? *

Level of English Language* Beginner – I don’t understand English
Elementary – I can have a basic conversation in English
Intermediate – I can understand conversations and speak well
Advanced – I can speak fluently

Horse Riding Ability * Beginner – I have never ridden before
Elementary – I can walk
Intermediate – Trot and jump to 70 cm
Advanced – I am a competent rider and can jump above 80 cm

Course Duration

Booking details * One week course
Two week course
Three week course
Four week course

Flight Information

Flight Arrival

Date of arrival to Ireland

Time your flight arrives to Ireland

Flight number

Flight Departure

Date of departure

Time your flight leaves Ireland

Flight number

Additional Information

Emergency contact name

Relationship to student

Emergency phone number

Name of person making payment

Where did you hear about us?

Please check the box to agree with our Terms and Conditions * I have read and accept the Terms and Conditions

A booking deposit of €200 must accompany this form and this is non-refundable. In the event of a cancellation students are advised to take out their own insurance which will cover such events.

Payments can be made using bank transfer. A receipt will be issued as soon as payment has been received. Please return the form to us here at Kingsford Language and Equestrian Centre.