• Guest Application Form

    Kilcuan, Clarinbridge, Galway H91 W596 Email info@irishpilgrimagetrust.com Tel 091 796622 Charity Reg 20009953 Rev No CHY5992 www.irishpilgrimagetrust.com
  • COMPLETION OF AN APPLICATION FORM DOES NOT GUARANTEE SELECTION

  • Please note that:-

    The information provided by you on this Application Form will be used by The Irish Pilgriamge Trust to assist in the Selection of Guests on our Easter Pilgrimages to Lourdes, Hosanna House or on holiday to Kilcuan, Galway and Cois Cuain, Wexford during the Friendship Weeks. You, as the provider of the information are entitled to recitfy the information,  if inaccurate or processed unfairly. In addition, where the personal information on this form is not obtained from the  Guest personally the Guest is entitled to a copy on this informmation on request.

     

     

     

  • The Irish Pilgrimage Trust is totally dependent on Fundraising.

    Any Donation would be gratefully received.

    All Trust Volunteers undergo Vetting and pay their own fare.

  • SECTION 1

    Contact Information
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  • SECTION 2

    General Information
  • SECTION 3

    Additional Information
  • SECTION 4

    Medical Information
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  • SECTION 5

  • DATA PROTECTION STATEMENT

    The Irish Pilgrimage Trust will only process your information for the reason/extension of the reason that it was obtained. Your data will not be passed onto third parties or accessed by any unauthorised individuals. Your data will be stored securely and will be processed in association with relevant GDPR and Data Protection legislation.

    By signing this APPLICATION FORM you agree to allow the processing of your data by The Irish Pilgrimage Trust.

    WITHDRAWAL OF CONSENT :- I/ We understand that consent may be withdrawn at any time by submitting written notification of such to the Trust’s National Co-ordinator at the head office of The Irish Pilgrimage Trust, Kilcuan, Clarinbridge, Galway, H91 W596

  •  

    By SIGNING this Application Form

    I / We hereby agree with the Statements and Terms contained herein and above and I /we confirm that, to the best of my/our knowledge, all information provided is correct and accurate at the time of completing this Application Form.

    I / we understand that completing, signing and submitting this Application Form does not guarantee selection.

  • SIGNATURE OF PARENT/LEGAL GUARDIAN/APPLICANT IF OVER 18

    Please sign   *   
    Printed name      
    Date*

  • SIGNATURE OF PARENT/LEGAL GUARDIAN
    Relation to Applicant
    Please sign      
    Date

  • SIGNATURE OF APPLICANT
    Please sign      
    Date

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