Bray Charities Sea Swim, New Year's Day 2019
Registration Form for the Bray Charities Sea Swim - 12 Noon on New Year's Day - Starting from the Esplanade Hotel

The Charities benefiting from the 36th Annual Swim are Wicklow Rapid Response, Bray Women's Refuge, Bray Area Rough Sleepers Support (BARSS) and Bray Lions Club Senior Citizens/Carers Support.

Please complete the short form below, and we will get a sponsorship card out to you.

Email address *
Meet at the Esplanade Hotel on New Year's Day. Changing Rooms available and all swimmers enter the water together. Swim starts at 12 Noon.
Please return your Sponsorship Cards before you swim. Fancy Dress is optional.
Name *
Your answer
Mobile Number *
Your answer
Postal Address: *
Your answer
I agree to abide by the rules of the sea swim as set out on the Swim Sponsorship Card. I also agree to return my sponsorship card and all monies collected by 21st January. *
Required
Filming and photography of this event activation will be taking place. Please note that all attendees may be filmed and pictures and images taken may be transmitted on online platforms in the future to highlight and promote this event. By entering the event, you hereby consent to all such filming and to transmissions and usage of any resulting images for promotion of this event. *
Required
I agree that my email address will be retained so that I may be contacted about future Bray Lions Club Activities (including next year's swim)
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