Midlands Juvenile T&F - 17 May 2024
Entry Form - Longford AC members only (born in or after 2011)
Registration
Maximum of 3 events
Parent's Email Address
*
example@example.com
Child Details
Child's Name
*
Longford AC members only
Event 1
*
Event 2 (optional)
Event 3 (optional)
prev
next
( X )
Entry Fee
€8.00 per child (regardless of number of events selected)
€
8.00
Quantity
1
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: