Irish Youth Choir Summer 2023
Singers Name
*
First Name
Last Name
Payment will be made by (note payment in seperate link in registration page)
Single one off payment
3 payments
Date of Birth
*
*please write it in format 01 Jan 2022 *Singers must be aged between 18 and 28 during courses
Address
*
County
*
Email Address
*
I consent to my email address being added to Sing Ireland's mailing list for information about all Irish Youth Choir activities
*
Yes
No
Emergency Contact Details
In case of emergency we need to be able to contact someone on your behalf. Please provide the information for a person that you would willing for us to contact in case of emergency.
Emergency Contact Name
First Name
Last Name
Relationship to singer
(e.g. Parent, Guardian, etc.)
Emergency Contact Number
Please include country code. (e.g. +353/+44).
Dietary Requirements
Please provide any information about any dietary requirements. (e.g. Allergies, Celiac, Vegetarian, Halal etc.)
Medical Requirements
Please provide information about any medical requirement. (e.g. Allergies, Prescription Medication, Epilepsy, etc.)
Any additonal information that we should be aware of or that will help us to make your experience in IYC more enjoyable. (All information shared is strictly confidential and will only be available to senior staff in Sing Ireland).
Over the course of the course, Sing Ireland would like to take photographs and videos that showcase and capture the experience of the course. Please tick below to confirm that you consent to this documentation. I give media consent to Sing Ireland and their partners to use my image/video/audio recording for documentation and promotional purposes on all media platforms.
Yes
No
My Products
prev
next
( X )
IYC Course (Full Payment)
€
600.00
Quantity
1
2
3
4
5
6
7
8
9
10
IYC Course (- Basel Deposit)
€
450.00
Quantity
1
2
3
4
5
6
7
8
9
10
IYC Course Instalments (3 x €200)
€
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Total
€
0.00
Pay with PayPal
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Should be Empty: