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Irish
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Maratacht Registration / Clárúchán 2025
Use EAN2025 Early Bird 10% discount to 15 Dec!
Participant Information
Eolas fén Rannpáirtithe
Participant Name / Ainm
*
Name
Surname
Dáta Breithe / Date of Birth
*
-
Lá / Day
-
Mí / Month
Blian / Year
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Seoladh / Address
Address
Address
Address
Address
eircode
Tick here if more than one participant in this booking
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
Guardian
Relative
Friend
Guthán Éigeandáil / Emergency Phone Number
*
Medical Information
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.
Dietary Information
An bhfuil aon riachtanais chothaite? Sonraigh anso má tá Are there any dietary requirements? If yes, please detail here.
Choose Week or Fortnight camp
Week
Fortnight
Choose Maratacht Camp Week / Roghnaigh Dátaí Seachtaine
Maratacht A 01-07 June
Maratacht B 08-14 June
Maratacht C 15-21 June
Maratacht D 22-28 June
Maratacht E 29-05 July
Maratacht F 06-12 July
Choose Maratacht Camp Fortnight Roghnaigh Dátaí Cóicise
Maratacht A+B 01-14 June
Maratacht C+D 15-28 June
Maratacht E+F 29-12 July
Number Participants
*
Pay 50% Deposit?
Yes
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Sub total calc before deposit & Ean
Early Bird Code!
Valid until 15 Dec 2024
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Coupon amount
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Payment
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