Language
Irish
English (UK)
Maratacht Registration / Clárúchán 2024
For Residential Maratacht Camp
Participant Information
Eolas fén Rannpáirtithe
If more than one participant in this booking:
Participant Name / Ainm
*
Name
Surname
Seoladh / Address
Address
Address
Address
Address
eircode
Dáta Breithe / Date of Birth
*
-
Lá / Day
-
Mí / Month
Blian / Year
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Other Participants - Name & Date of Birth
Tuismitheoir / Caomhnóir
Parent/Guardian
Parent / Guardian Name
*
First Name
Last Name
Guthán / Phone
*
Ríomhphost / Email
*
Emergency Information
Ainm Éigeandála / Emergency Contact Name
*
First Name
Last Name
Gaol / Relationship
Please Select
Mother
Father
Relative
Friend
Other
Guthán Éigeandáil / Emergency Phone Number
*
An bhfuil ailléirge, tinneas ainsealach nó riocht leighis ar an rannpháirtithe? Má tá, sonraigh anso iad le do thoil. Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe. An bhfuil leigheas nó úirlis mar análóir án-úsáid ag an rannpáirtithe? Má tá, sonraigh módh úsáide anso le do thoil. Does the participant regularly use any medicines or inhaler? If yes, please explain any instructions.
An bhfuil aon riachtanais chothaite? Sonraigh anso má tá Are there any dietary requirements? If yes, please detail here.
Roghnaigh do champa / Choose your camp
*
Roghnaigh / Select
Maratacht B (13y-17y) 23-29 June
Maratacht C (13y-17y) 07-13 July
Maratacht B - DEPOSIT
Maratacht C - DEPOSIT
Course Payment - Choose full payment or deposit option.
*
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Maratacht A LÁN / FULL 16-22 June 2024 FULL PAYMENT
Campa Lán / Camp Fully booked. Roghnaigh dáta eile / Please choose another date.
€
750
Number Participants
1
2
3
4
5
Maratacht B 23-29 June 2024 FULL PAYMENT
Residential Teen Camp 13y - 17 yo
€
750
Number Participants
1
2
3
4
5
Maratacht C 07-13 July 2024 FULL PAYMENT
Residential Teen Camp 13y - 17yo
€
750
Number Participants
1
2
3
4
5
Maratacht A 16-22 June 2024 50% DEPOSIT
Campa Lán / Camp Fully booked. Roghnaigh dáta eile / Please choose another date.
€
375
Quantity
1
2
3
4
5
6
7
8
9
10
Maratacht B 23-29 June 2024 50% DEPOSIT
Deposit Only. Balance due by 08 May 2024
€
375
Quantity
1
2
3
4
5
6
7
8
9
10
Maratacht C 07-13 July 2024 50% DEPOSIT
Deposit Only. Balance due by 15 May 2024
€
375
Quantity
1
2
3
4
5
6
7
8
9
10
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