CLÉIRE LASMUIGH
Cape Clear Island / Oileán Chléire
West Cork / Iarthar Chorcaí
grupai@lasmuigh.ie
https://lasmuigh.ie
085 2029094
Cléire Lasmuigh - Foirm Clárucháin
Registration Form 2025
GRÚPAÍ / SCOILEANNA 2025
GROUPS / SCHOOLS 2025
Ainm & Seoladh Scoile nó Grúpa / Group or School Name & Address
Address1
Address2
City
State / Province
Ainm Teagmhála / Contact Name
*
Ainm / Name
Sloinne / Surname
REF
Reference on quotation if applicable.
Ríomhphost / Email
*
Ríomhphost / Email
Guthán / Phone
*
-
Area Code
Phone Number
Saghas Ghrúpa / Group Type
*
Teaghlach / Family
Scoil / School
Gnó / Corporate
Gaisce / Youth Group
Dátaí / Date of Visit
*
Eachtraí / Activities
*
Currachóireacht / Kayaking
Snámh Fé Thoinn / Snorkelling
Seascéaslóireacht / Paddleboarding
Turas Feirme / Farm Visit
Dúshláin Foirne / Team Challenges
Síulóid / Walk
Méid / Number in group
*
Eolas Leighis / Medical Info
Please enter here any medical information we should be aware of - or let us know before activities start. All information is kept confidential and only for the period of the visit.
Payment
Full Payment
50% Deposit
Iomlán / Full Payment
Earlais / Deposit
Íocaíocht / Payment - please enter either Total or Deposit as above.
*
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Description
Please verify that you are human
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Payment Methods
Debit or Credit Card
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make your payment.
Priontáil / Print Form
Seol / Submit
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