Teen Fitness Programme (12-16yo) Summer Course 2026 July Course 2-Registration
Begins Monday July 6th ; Ends Friday July 24th 2026
9 Days in total. Monday, Wednesday, Friday 09.30-11.00am
How many teens do you wish to book?
*
1
2
3
4
Teen 1 Details
First Name
*
Surname
*
Age
*
Age when attending program
Gender
Please Select
Female
Male
Other
To help with grouping
Health Information
All fields are required below. If nothing applies, please put "NONE" in the box.
Does your child suffer from any Illness or incapacity which could restrict his/her ability to participate in any activity, If yes, please give details
Teen 2 Details
First Name
*
Surname
*
Age
*
Age when attending program
Gender
Please Select
Female
Male
Other
To help with grouping
Health Information
All fields are required below. If nothing applies, please put "NONE" in the box.
Does your child suffer from any Illness or incapacity which could restrict his/her ability to participate in any activity, If yes, please give details
Teen 3 Details
First Name
*
Surname
*
Age
*
Age when attending program
Gender
Please Select
Female
Male
Other
To help with grouping
Health Information
All fields are required below. If nothing applies, please put "NONE" in the box.
Does your child suffer from any Illness or incapacity which could restrict his/her ability to participate in any activity, If yes, please give details
Teen 4 Details
First Name
*
Surname
*
Age
*
Age when attending program
Gender
Please Select
Female
Male
Other
To help with grouping
Health Information
All fields are required below. If nothing applies, please put "NONE" in the box.
Does your child suffer from any Illness or incapacity which could restrict his/her ability to participate in any activity, If yes, please give details
Please review before moving to Parent & Payment details
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Contact Information
Parent / Guardian Name
*
Contact Number Mobile
*
Contact Work Number
Parent / Guardian 2 Name
Contact Number Mobile
Contact Work Number
Email Address
*
ID Number
Staff/Student/Member ID number for member rate only
Collection Authorisation
Details of Individuals authorised to collect
*
Permission to leave without Adult Sign Out?
Yes
No
Mardyke Arena UCC may take photos or short video clips during the session to use in materials that explain and promote the program—like on our website, social media, or brochures. These can help other parents and young people see what’s involved in program. Do you consent to your child / children being included in such photos or videos?
Please Select
Yes
No
Signature
*
My Products
*
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Next Gen Fitness
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Next Gen Fitness
Teen Fitness - (Member / UCC Staff)
€80.00
€
80.00
No. of Participants
1
2
3
4
Item subtotal:
€0.00
€
0.00
Teen Fitness- Non Member
€95.00
€
95.00
Quantity
1
2
3
4
Item subtotal:
€0.00
€
0.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
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Expiration Year
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