Childrens NICAS Course December 2024

6 Week Childrens NICAS Course December 2024 Registration
Please select your desired time slot?*

Saturday 9am-10.30am (7th December-25th January 2025)Saturday 10.30am-12pm(7th December-25th January 2025)Sunday 10am-11.30am (8th December-26th January 2025)Sunday 11.30am-1pm (8th December-26th January 2025)
How many children do you wish to book?*

1234
Child 1 Details
First Name *
Surname *
Child Age*
Age when attending course
Child Date of Birth*
Age when attending course
Health Information

All fields are required below. If nothing applies, please put "NONE" in the box.
List any past medical treatment that would be helpful for us to know.
Child 2 Details
First Name *
Surname *
Child Age*
Age when attending course
Health Information

All fields are required below. If nothing applies, please put "NONE" in the box.
List any past medical treatment that would be helpful for us to know.
Child 3 Details
First Name *
Surname *
Child Age*
Age when attending course
Health Information

All fields are required below. If nothing applies, please put "NONE" in the box.
List any past medical treatment that would be helpful for us to know.
Child 4 Details
First Name *
Surname *
Child’s Age *
Health Information

All fields are required below. If nothing applies, please put "NONE" in the box.
List any past medical treatment that would be helpful for us to know.
Please review before moving to Parent & Payment details

My Products*

Member/UCC Staff/UCC Student RateMember/UCC Staff/UCC Student Rate

€85.00 Quantity
Item subtotal:€0.00

Non-Member Rate

€100.00 Quantity

Total

€0.00

Please ensure all information is correct before submitting.

Ensure payment options align with booking details. Please note course requires a minimum of 6 participants.
Should be Empty:

Child 1 Details