Full Year 1st Year Booking

Full Name*

First Last

Your Email*

Your Contact Number*

Date of Birth*

Gender*

Male
Female

Nationality*

Erasmus*

No
Yes

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Next of Kin Name*

Relationship to Next of Kin*

Next of Kin Home Phone/ Mobile Number*

Next of Kin Email*

Car Reg (where applicable)

University Details

Year of Study*

Course

Booking Details

Choose your bed*

Single Bed
Double Bed

Duration of Stay (Single Bed)*

Duration of Stay (Double Bed)*

People to Share with

Special Medical Requirements

Agree to Terms and Conditions

For the avoidance of doubt your booking does not include the provision of on-site parking for motor vehicles. A limited number of parking permits will be available for purchase at a later date. Please note Brookfield Hall provides a dedicated bus service to UL Monday to Friday & a dockless bike scheme will be in operation from May 2023. Deposit: I wish for Brookfield Hall to take €500 deposit to cover my new booking subject to the outcome of the end of year audits. Non first year students – for cancellation in order to be eligible for €400 refund of booking deposit cancellation must be confirmed BY EMAIL to marketing@brookfieldhall.com by no later than 21st July 2023. If you cancel after this date your deposit is forfeited. For incoming first year students the cancellation date is 21st August 2023.

I have read and agree to Terms and Conditions

University Details

Booking Details

Agree to Terms and Conditions

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