Raft Race
Over 16s only
Captain Name
*
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Captain Email
*
example@example.com
Captain phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Team Name
*
Are you part of a Club?
*
GAA Club
Soccer Club
Hurling Club
None of the above
If you are part of a club please tell us the name of that club. if not please type N/A
Does your team agree to adhere to the rules, terms and conditions as set out by the organisers?
*
Yes
No
Do you need a lifejacket? If so, how many?
*
Emergency Contact
*
Emergency contact phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Is everyone in your team age 16+
*
Yes
No
My Products
*
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Raft entry
€80.00
€
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
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