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Participants aged between 12-18

€125.00

Category: ssv

Name(Required)

First Last

Phone Number(Required)

Email(Required)

Country(Required)

Date Of Birth(Required)

Please note participant must be 13 years (by 31st Aug 2022) and over to attend

Gender(Required)

Male

Female

Dietary & Medical Information

Please specify any food intolerances (NOTE all food provided will be strictly vegetarian)

Allergies (or state N/A)(Required)

Please state any active medical problems, injuries or disabilities (or state N/A)(Required)

Current medication (or state N/A)(Required)

Name 1(Required)

Phone Number 1(Required)

Relationship to Participant(Required)

Name 2

Phone Number 2

Relationship to Participant

Participant / Parental / Guardian Declaration