Corrib Canoe Summer 2019
Email address *
Parent or Guardian Name (junior course only)
Your answer
Number of people registering *
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 *
Required
Course Time *
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? *
If applicable what years did you previously attend Corrib Canoe
Your answer
Method of payment for deposit *
How did you hear about Corrib Canoe Courses? *
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