Please note: Fields marked with a red * asterisk are required. Hover your cursor overicons below to reveal more information.
First Name *
Last Name *
Age --Select Age-- 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 *
Gender --Select Gender-- Male Female *
Email Address *
Telephone
Cell/Mobile
Address *
City/Town *
State/Province -- Select Province/State -- ------------ Outside Canada & US ------------ Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon -------- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware Distric of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific *
State, outside Can.
Country -- Select Country -- ------------ Canada United States ------------ Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Timor-Leste Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe *
Postal Code *
Telephone 2
1st Discipline --Select 1st Discipline-- Fiddle Gaelic Song Step/Square-Dancing Cape Breton Piano Cape Breton Piping Guitar Accompaniment GAB 1/GAB 2 Highland Dance Gaelic Drama
2nd Discipline --Select 2nd Discipline-- Fiddle Gaelic Song Step/Square-Dancing Cape Breton Piano Cape Breton Piping Guitar Accompaniment GAB 1/GAB 2 Highland Dance Gaelic Drama
3rd Discipline --Select 3rd Discipline-- Fiddle Gaelic Song Step/Square-Dancing Cape Breton Piano Cape Breton Piping Guitar Accompaniment GAB 1/GAB 2 Highland Dance Gaelic Drama
4th Discipline --Select 4th Discipline-- Fiddle Gaelic Song Step/Square-Dancing Cape Breton Piano Cape Breton Piping Guitar Accompaniment GAB 1/GAB 2 Highland Dance Gaelic Drama
5th Discipline --Select 5th Discipline-- Fiddle Gaelic Song Step/Square-Dancing Cape Breton Piano Cape Breton Piping Guitar Accompaniment GAB 1/GAB 2 Highland Dance Gaelic Drama
1st Level --Select 1st Level-- New Beginner Advanced Beginner Intermediate Advanced
2nd Level --Select 2nd Level-- New Beginner Advanced Beginner Intermediate Advanced
3rd Level --Select 3rd Level-- New Beginner Advanced Beginner Intermediate Advanced
4th Level --Select 4th Level-- New Beginner Advanced Beginner Intermediate Advanced
5th Level --Select 5th Level-- New Beginner Advanced Beginner Intermediate Advanced
Vegetarian Meals --Select-- Yes, I require vegetarian meals. (Hover over blue (i) for details) No, I Do NOT require vegetarian meal.
Medical Requirements
Yes, I have advised of any medical requirements in the text field above *
Please note: After clicking the Submit button below, you will be directed to our Craft Shop, where you can make the 40 dollar (CAD) deposit.
The Gaelic College reserves the right to: (1) refuse any application; (2) take photos for promotional purposes.
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