Application Form for SlÍ Cholmcille Pilgrimage 21-28 July 2024

Application Form for SlÍ Cholmcille Pilgrimage

on Slí Cholmcille - Gartan
Ar an shlí Cholmcille - An Gatrán
(Donegal)

21-28 July 2024

PERSONAL DETAILS

Name:*

First NameLast Name

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number:

Area CodePhone Number

Mobile Phone Number:*

Area CodePhone Number

E-mail Address:

EMERGENCY CONTACT

Name:*

First NameLast Name

Relationship*

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number:

Area CodePhone Number

Mobile Phone Number:*

Area CodePhone Number

MOTIVATION

Describe why you would like to take part in this pilgrimage.

Do you have any fears or concerns about this pilgrimage?

HEALTH

Have you any health conditions that we should be aware of? (please select one)

YESNO

If yes, please provide further information:

Do you have any significant illnesses that would affect your ability to hike and be on the pilgrimage?

Do you have any allergies?

YESNO

CONSENT

Are You Willing To:

Participate in and be part of a teamAttend an online meeting for prep/briefing (early July TBD)Be open to the spiritual processEnsure that you are prepared for walking 20km a dayCan you attend the entire 7 days, 21th - 28th July

Please tick to confirm that you have read and agree to the terms and conditions outlined in the waiver on our website.

YES

DECLARATION

I declare that the foregoing information is accurate.

Signature

Personal information will be kept safe and secure, particularly as regards unauthorised access or damage; it will be processed fairly and in accordance with the provisions of the Data Protection Act

1. 1. Payment can be made in full, or part-payment is also available with 50% payment required now, and 50% required before Friday, 14th June 2024.

Bank Details Available from runai@slicholmcille.org or +353877971642

2. Please return signed application by post or electronically to:

The Secretary, Sli Cholmcille, Ard Adhamhnáin, Cathedral Rd,

Letterkenny. Co. Donegal F92 W2W9

E-mail runai@slicholmcille.org

Website: https://slicholmcille.org

Checklist:

Complete the form
Pay the deposit
Sign the form