Northeast Dip in the Nip 2026

Northeast Dip in the Nip 2026

Registration Form This is a Female Only Dip
Date of Event: Sunday 13th September 2026 Location: Secret beach location (transport from CityNorth Hotel) Registration Closing Date: 7th September 2026

To participate in the 15th Northeast Dip in the Nip, please complete the form below. After reading and agreeing to the Terms & Conditions (on the following page), please sign to confirm your participation.

Personal Details (BLOCK CAPITALS PLEASE)
Full Name
Address*

Street Address

Street Address Line 2

CityCounty

Eircode
Mobile No (Mandatory)
Email
example@example.com
Date of Birth 18 only

MonthDayYear
Date
Are you entering as part of a group if yes please fill out the
My Group Name is
Group Captains name
Contact details
Phone number
If you are organising a new group (6+ people), please ensure a Group Captain is nominated. And that your group know who the group captain

If you are not joining a group,

Don't worry we will assign one to you closer to the date. And appoint a Captain form the members in your assigned group
I am over 18
Contact Name
Contact Phone No
Your registration number (matching your sponsorship card and correspondence) will be sent to you by post along with your personal registration card. You must bring this card with you on the day. It will also enter you into a free raffle at the event.

By signing below, I confirm that I have read and understood the Terms & Conditions for the Northeast Dip in the Nip 2025, and I agree to be bound by them.
Have you Dipped previously?
Signed

Clear
I have read and agree to the terms and conditions of NECRET's Dip In The Nip
By checking this box I agree to terms and conditions
Date

MonthDayYear
Date
For office use only Reg no
Should be Empty: