Active Connections – Abseiling Event

Take the Leap Abseil

Take part as

Individual

Team

First Name:(Required)

Surname:(Required)

Phone Number:(Required)

Email(Required)

Join a Team

-or-

Create A New Team

Would you like your team members to have individual fundraising pages, or would you rather use a collective team page only?*(Required)

Individual Pages per Team Member

Single Collective Page

Enter Team Name(Required)

What type of team are you?(Required)

Select Preferred Time Slot:

11 – 13

13 – 15

15 – 17

How did you hear about 'Take the Leap' Abseil event for Active Connections CLG and Teac Tom?(Required)

Social media

From my company

Friends / Family

Radio

Other

I am happy to receive email updates on Active Connection’s & Teac Tom's work and how I can support(Required)

Yes

Registration Fee:(Required)

Price:

Processing fee:(Required)

Price:

Total:

Eircode / Postcode ( for billing address)(Required)

Eircode

Credit Card:(Required)

Card Details

Cardholder Name

EVENT TERMS & CONDITIONS

By registering to take part in the event, you are agreeing to abide by the terms and conditions. Please ensure to read this before completing your registration.

1.) An idonate fundraising page will be created for you when registering for this event,
to view the terms of use for iDonate, click here.
2.) In relation to the processing of personal data you can view iDonate’s Privacy policy here.

I have read and agree(Required)

I have read and agree to the event terms & conditions.