Start to Move Interest/Waiting List
If you wish to be added to the interest/waiting list for your preferred location please complete the form below. If you have any questions please email Eoin Kaar at wellcommactive@corksports.ie or call 0861409225.
Participant Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How did you hear about the programme?
Source
Notes
Please choose the venue in which you would like to be added to the interest/waiting list for.
Farranree/The Glen/Gurranabraher
Whitechurch
Clonakilty
Douglas/Ballyphehane
Bishopstown
Midleton
Mallow
Other
If there is a location in which you would like to see the programme run please put in here. If we have enough participants we will explore the possibility of running the programme in your area.
Submit
Should be Empty: