Kilmacud Crokes Active Autumn 2021
If you are interested in getting back to an active lifestyle, please complete the following form and select the activities which you wish to take part in.  You are welcome to take part in as many activites as you wish.
Name *
Email *
Address *
Phone number *
Emergency contact name & number *
Are you a club member - these activities are open to both members & non members *
Any medical conditions which your instructor/ leader should be aware of? *
Which Activity/ Activities would you like to partake in? *
Required
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