Club Registration | Cork Dragons

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Members Registration

Day Paddler / just trying it out

Day Paddler Registration

First Name

Last Name

Address

Phone

How did you find out about us?

Can you swim 50 m?

Yes

Are you a breastcancer survivor?

Yes

Date of Birth

Emergency Contact Name

Emergency Contact Phone

Is there anything else we should know - diabetic, heart condition, fear of water, asthmatic...

PFD (Personal Floatation Device) Size

By joining the Cork Dragons I agree to my photo being used on social media and that I have read the Information Booklet provided

Membership *

New Membership - €123

Membership Renewal - €52

Address

Thank you for your submission

Members Registration

Unfortunately membership is closed for 2024 with the exception of cancer survivors

Day Paddler / just trying it out

Day Paddler Registration

First Name

Last Name

Address

Phone

How did you find out about us?

Can you swim 50 m?

Yes

Are you a breastcancer survivor?

Yes

Date of Birth

Emergency Contact Name

Emergency Contact Phone

Is there anything else we should know - diabetic, heart condition, fear of water, asthmatic...

PFD (Personal Floatation Device) Size

By joining the Cork Dragons I agree to my photo being used on social media and that I have read the Information Booklet provided

Membership *

New Membership - €123

Membership Renewal - €52

Address

Thank you for your submission

Cork Dragons Charity Number CHY 20638

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Members Registration

Members Registration Unfortunately membership is closed for 2024 with the exception of cancer survivors

Members Registration

Unfortunately membership is closed for 2024 with the exception of cancer survivors