WeatherPlay Play Day Expression of Interest Form | Foirm Léiriú Spéise lá Spraoi faoin Spéir

Bank Holiday Monday, 28th October 2019 | Luain, lá Saoire Bainc, 28 Deireadh Fómhair 2019

11.00 – 16.00

Rinnville Park, Oranmore, Galway | Páirc Rinn Mhíl, Órán Mór, Contae na Gaillimhe

Please note that a form to enable you to register for specific workshops will issue on 10.10.2019. | Beifear in ann seisiúin spraoi a chur in áirithe ó 10.10.2019.

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* 1. Contact Information |

Name | Ainm

Group | Grúpa

Address | Seoladh

Address 2 | Seoladh 2

City/Town | Cathair/Baile

County | Contae

Email Address | Seoladh RPhoist

Phone Number | Uimhir Guthán

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* 2. Number of adults | Líon daoine fásta

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* 3. Number of children | Líon páistí

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* 4. Please advise us as to whether you have any special accessibility requirements e.g. wheelchair access. | An bhfuil riachtanaisí rochtain ar leith agat, cuir i gcás rochtain ag cathaoireacha rothaí?