Runs:
Price:
27/08/2012 until 31/08/2012
€100 per Child
* indicates a required field
Name *
Age *
Age Group *
Sex
Male Female
Contact Name *
Relationship *
Contact Number *
Please check the equipment you wish to use (All Equipment included in the price):
Wetsuit
Boots
Gloves
Hat
No Medical Issues
Please list any medical conditions that may affect the participants safety or the safety of others. eg. Asthma, epiliepsy, heart problems, recent surgery, pregnancy, etc. Please give details:
Paul Buchanan
Strandhill
Sligo, Ireland.
Phone:+353 71 91 68483
Mobile: +353 87 2870817
This small sum lets us know that you are genuinely enquiring and not a computer trying to send excess amounts of spam to our email account.
Step 1: Add Bill Payer's Details