Name of main contact:

This is a required question

Age:

This is a required question

Town/County:

This is a required question

Town/County:

This is a required question

Contact Number:

This is a required question

E-mail address:

This is a required question

Occupation/what are you studying?

This is a required question

How many Tickets would you like?

Must be a number

This is a required question

PLEASE CONFIRM THAT YOU, THE APPLICANT, HAS BEEN AUTHOURISED TO PROVIDE THE FOLLOWING INFORMATION BY THE PERSONS BELOW FOR THE PURPOSES SET OUT IN THIS FORM. 3RD PARTY INFORMATION IS PROVIDED TO RTE FOR THE PURPOSES SET OUT IN THIS FORM AND WILL BE TREATED AS CONFIDENTIAL.

I can confirm

This is a required question

Section 2: Who are the tickets for?

PLEASE FILL IN DETAILS BELOW Please note: persons under the age of 18 will not be admitted.

Name 1

This is a required question

Age

This is a required question

Phone 1

This is a required question

Occupation/Studying 1

This is a required question

Name 2

This is a required question

Age 2

This is a required question

Phone 2

This is a required question

Occupation/studying 2

This is a required question

Name 3

This is a required question

Age 3

Must be a number

This is a required question

Contact number 3

This is a required question

Occupation/studying 3

This is a required question

Name 4

This is a required question

Age 4

Must be a number

This is a required question

Contact number 4

This is a required question

Occupation/studying 4

This is a required question

Please Tick the dates you are available to attend:

This is a required question

Are there any special requirements for you or any of you guests e.g; wheelchair access?

This is a required question

Tickets are issued on the basis of the above information.

* Applicants must be 18 or over. ID required. *The information given on this form will be treated as private and confidential Please fill out entire form correctly. Regrettably, we cannot guarantee that every applicant will receive tickets.

Brendan O’Connor’s Cutting Edge

Section 2: Who are the tickets for?

Tickets are issued on the basis of the above information.