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GalwayFest 2016- Registration
Includes 2 events, T-Shirt, Canoeing Ireland Coaching, food vouchers, free entry to party venue.
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Full Name
*
Your answer
Email Address
*
Your answer
Mobile Number
Your answer
Medical Conditions
*
You must disclose any relevant past medical problems. Write N/A if you have none.
Your answer
Name for next of kin
*
Your answer
Contact number for next of kin
*
Your answer
Gender
*
Male
Female
Age Category
*
Choose
Over 18 on date of competition
Under 18 on date of competition
Canoeing Ireland Level 3 Skills certificate?
*
If not you will need to be signed off by a Level 3 Instructor
Choose
Yes
No
Club (if any)
Your answer
Competing in Whitewater Event
*
Yes
No
Competing in Freestyle Event
*
Yes
No
T-Shirt Size
Choose
N/A
S
M
L
XL
XXL
XXXL
Read and agree with the event disclaimer?
*
https://docs.google.com/document/d/1Xy0UYvl7Xg6nDhIrHdHmxkP_-2Qb0EoGPwzBly-qU44/edit
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Yes
Required
Read and agree with event safety statement?
*
https://docs.google.com/document/d/1h-eGDgmZB55y_FENTnEsf5qUoD8DFGK1xa5O3nB00WY/edit
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Yes
Required
ICU Number
Your answer
Entry for the Sport (Beginner-Intermediate) class
*
Yes
No
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