Online Booking Form

Course Type*

Part TimeFull Time

Invalid Input

If you wish to book and pay for your course online, please fill out the form below.

Please note: Personal details received by the Kildare Language Institute (KLI) will be treated in absolute confidentiality and will not be used for purposes other than KLI enquiries and/or bookings.

If you wish to make a booking, please fill out the form below. In order to secure your place a €200 deposit (or equivalent in other currencies) is required. Please use our secure online payment facility to process this transaction. Alternatively, please indicate payment method at the end of this form.

Please note: Personal details received by the Kildare Language Institute (KLI) will be treated in absolute confidentiality and will not be used for purposes other than KLI enquiries and/or bookings.

Your Course

Course*

Invalid Input

Course*

Invalid Input

Course Level*

Invalid Input

Course Start Date*

Invalid Input

Course Finish Date*

Invalid Input

Your Flight

Flight No

Invalid Input

Airport Transfer

Invalid Input

Arrival Date

Invalid Input

Arrival Flight Time/Details

Invalid Input

Departure Date

Invalid Input

Departure Flight Time/Details

Invalid Input

Your Accommodation

Accommodation Type

Invalid Input

Requirements

Invalid Input

Do you have any special requirements, for example diet?

Do you smoke?

NoYes Invalid Input

Other Details

Invalid Input

Payment Details

Surname*

Invalid Input

First Name*

Invalid Input

Gender

MaleFemale Invalid Input

Date of Birth

Invalid Input

Tel No*

Invalid Input

Mobile

Invalid Input

Email*

Invalid Input

Confirm Email*

Invalid Input

Nationality

Invalid Input

First Language

Invalid Input

Applicable if not English.

Payment Price

EUR0.00

Payment Method

Bank TransferBank DraftOnline

*

Invalid Input

Online Booking Form

Book your Course Online