Corrib Canoe Summer 2019
* Required
Email address
*
Your email
Parent or Guardian Name (junior course only)
Your answer
Number of people registering
*
1
2
3
4
Name
*
Your answer
Name (registering second person)
Your answer
Name (registering third person)
Your answer
Name (registering fourth person
Your answer
Age (minimum 8 years old)
Your answer
Contact Number
*
Your answer
Email
*
Your answer
Address
*
Your answer
Date Of Course
*
24th June – 28th June
1st July – 5th July
8th July – 12th July
15th July – 19th July
22nd July – 26th July
29th July – 2nd August
5th August – 9th August
12th August – 16th August
19th August – 23rd August
26th August – 30th August
Required
Course Time
*
Junior Morning 10.00am - 12.15pm
Junior Afternoon 2.00pm - 4.15pm
Adult 7.00pm - 9.00pm
Any medical conditions we should be aware of? (if this does not apply please just type N/A)
*
Your answer
Are you comfortable in the water?
*
Yes
No
If applicable what years did you previously attend Corrib Canoe
Your answer
Method of payment for deposit
*
Cash/Cheque
Bank Transfer
Paypal
How did you hear about Corrib Canoe Courses?
*
Facebook
Instagram
Google
Galway Advertiser
From a Friend
Brochure/Poster
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