Siúlóid Oidhreachta agus Dúlra / Heritage & Nature Walk

Siúlóid Oidhreachta agus Dúlra / Heritage & Nature Walk
Áit/ Location: Siúlóid Oidhreachta agus sean scoil na Minairde/ Heritage & Nature Walk from the old school in Minard.

Dáta/ Date: Dé Satharn 1ú Lúnasa/ Saturday August 1st

Am/ Time: 2 in/ 2 pm
Sonraí/ Participant Details
Ainm/ Name

Chéad Ainm/ First NameSloinne/ Last Name
Inscne/ Gender
Aois/ Age
Ainm Tuismitheoir (fé 16)/ Parent Name (under 16)

First NameLast Name
Ríomhphost/ Email
example@example.com
Uimhir/ Phone Number

Area CodePhone Number
Seoladh/ Address
e.g. Lios Póil, Annascaul etc..
Tarscaoileadh/ Waiver
Participant's Signature
Date Signed

MonthDayYear
Date
Parent/Guardian Signature (If participant is under 16 years old)
Should be Empty:

Sonraí/ Participant Details