Maratacht 2025 Registration Form

Maratacht Registration / Clárúchán 2025
Participant Information
Eolas fén Rannpáirtithe
Participant Name / Ainm*

NameSurname
Dáta Breithe / Date of Birth*

Lá / DayMí / MonthBlian / Year
Seoladh / Address

Address

Address

AddressAddress

eircode
Tick here if more than one participant in this booking
Other Participants - Name & Date of Birth
Tuismitheoir / Caomhnóir
Parent/Guardian
Parent / Guardian Name*

First NameLast Name
Guthán / Phone*
Ríomhphost / Email*
Emergency Information
Ainm Éigeandála / Emergency Contact Name*

First NameLast Name
Gaol / Relationship
Guthán Éigeandáil / Emergency Phone Number*
Medical Information
An bhfuil ailléirge, tinneas ainsealach nó riocht leighis ar an rannpháirtithe? Má tá, sonraigh anso iad le do thoil. Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe. An bhfuil leigheas nó úirlis mar análóir án-úsáid ag an rannpáirtithe? Má tá, sonraigh módh úsáide anso le do thoil. Does the participant regularly use any medicines or inhaler? If yes, please explain any instructions.
Dietary Information
An bhfuil aon riachtanais chothaite? Sonraigh anso má tá Are there any dietary requirements? If yes, please detail here.
Choose Week or Fortnight camp

WeekFortnight
Choose Maratacht Camp Week / Roghnaigh Dátaí Seachtaine

Maratacht A 01-07 JuneMaratacht B 08-14 JuneMaratacht C 15-21 JuneMaratacht D 22-28 JuneMaratacht E 29-05 JulyMaratacht F 06-12 July
Choose Maratacht Camp Fortnight Roghnaigh Dátaí Cóicise

Maratacht A+B 01-14 JuneMaratacht C+D 15-28 JuneMaratacht E+F 29-12 July
Number Participants*
Pay 50% Deposit?

Yes
Sub total calc before deposit & Ean
Sub total calc before deposit & Ean
Voucher Code
Valid until 15 Dec 2024
PreCouponTotal
Coupon amount
Post Coupon Calc All Tot
Payment*

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EURDescription
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Maratacht Registration / Clárúchán 2025