London 2017 ··· Registration
A programme for boys entering 4th, 5th and 6th Year


Friday 23–Friday 30 June 2017
London/Oxford, UK

Brosna Educational Centres
start
 
Welcome to the London 2017 registration page. 
To begin with, please tell us the boy’s name: *

 
... and his surname: *

 
What are the names of his parent(s)/guardian(s)? *

 
How did you hear about London 2017?


 
Thanks. We would now like to ask you for some contact details. What is your home address?

 
Address 1 *

 
Address 2

Only fill this field if necessary
 
Address 3

Only fill this field if necessary
 
Postcode/Eircode *

 
What is your home telephone number? *

 
What is your mobile number? *

 
Next, we will ask you some questions about your son. What school does he attend? *

 
What year will he be entering in September 2017? *

i.e. in the 2017–18 academic year
NB: the Engage Freedom Seminar is for boys entering 4th, 5th and 6th Year only.
You may have other sons between 5th Class and 2nd Year, who may be interested in our Leadership & Adventure Camp in the Co. Clare (24–30 July 2017). For more information, see www.nullamore.com.

 
What is his date of birth? *

 
Is there any other information that you would like to provide (medical, dietary etc)?

Please provide as much detail as possible for medical/dietary requirements.
 
Can he swim? *

     
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