Summer Scheme Concession

1
What site will your booking be made at* This field is required.
South Lake Leisure Centre
Banbridge Leisure Centre
Dromore Community Centre
Gilford Community Centre
Keady Recreation Centre
Orchard Leisure Centre
Rathfriland Community Centre
Richhill Recreation Centre
Tandragee Recreation Centre
2
Your Full Name* This field is required.
First Name
Last Name
3
E-mail* This field is required.
4
Phone Number* This field is required.
5
First child's name* This field is required.
First Name
Last Name
6
First child's date of birth
Date
Month
Day
Year
7
Second child's Name
First Name
Last Name
8
Second child's date of birth
Date
Month
Day
Year
9
Third child's name
First Name
Last Name
10
Third child's date of birth
Date
Month
Day
Year
11
Fourth child's name
First Name
Last Name
12
Fourth child's date of birth
Date
Month
Day
Year
13
Please upload proof of your concession status* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
14
Please detail any other relevant information below
15
I consent to my data be used as per terms of the Privacy Policy* This field is required.
Yes
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