Learn To Cycle
This programme aims to assist children with a disability to learn to cycle independently. If you are interested in this programme, please complete your details below:
Parents Name
*
First Name
Last Name
Childs Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
County
Province
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Has your child past experience in cycling, if yes please detail.
The above information will be shared with the athletics coach.
Please identify what region in Cork you wish to access the programme
*
Cork City Northside
Cork City Southside
East Cork
West Cork
North Cork
Other
Please specify community locations that suit you i.e. Fermoy, Bantry, Youghal etc.
The above information will be shared with the athletics coach.
Submit
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