Contact Tracing Information
Name *
Phone Number *
Email Address *
What date are you visiting the LRYC *
MM
/
DD
/
YYYY
Date you are staying until (For those staying longer than a day)
MM
/
DD
/
YYYY
Please list below any other persons from your household that will be attending with you
What activity are you engaged in during your visit? *
Required
I'm acting in compliance with current Government, Irish Sailing and Lough Ree Yacht Club's COVID 19 restrictions. *
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