Oíche Péinte & Prosecco / ‘Paint & Prosecco’ evening

Oíche Péinte & Prosecco / ‘Paint & Prosecco’ evening

with artist Laura Barry
Áit/ Location: Tigh Tábhairne Uí Shúilleabháin

Dáta/ Date: Dé Satharn 1ú Lúnasa/ Saturday August 1st

Am/ Time: 7 i.n/ 7 pm

Costas/ Cost: €25 per person - Bring Cash on night

YOU MUST BE OVER 18 YEARS OF AGE TO ATTEND
If unable to select a qty, places are sold out
Do Shonraí/ Your Details
Ainm/ Name 1

Chéad Ainm/ First NameSloinne/ Last Name
Aois/ Age
Ríomhphost/ Email
example@example.com
Uimhir/ Phone Number

Area CodePhone Number
Seoladh/ Address
e.g. Lios Póil, Annascaul etc..
Duine Éigeandála/ Emergency Contact Person

First NameLast Name
Uimhir Duine Éigeandála/ Emergency Person Phone Number

Area CodePhone Number
Sonraí Daoine Eile/ Other Participant's Details
Ainm/ Name 2

Chéad Ainm/ First NameSloinne/ Last Name
Aois/ Age
Ainm/ Name 3

Chéad Ainm/ First NameSloinne/ Last Name
Aois/ Age
Ainm/ Name 4

Chéad Ainm/ First NameSloinne/ Last Name
Aois/ Age
Ainm/ Name 5

Chéad Ainm/ First NameSloinne/ Last Name
Aois/ Age
Tarscaoileadh/ Waiver
Participant's Signature
Date Signed

MonthDayYear
Date
I will bring €25 per person registered on the night
Total CASH to bring on the night
Should be Empty: