Camp Preference & Parent/Carer contact information

Wicklow Sports & Recreation Partnership have a number of physical activity Disability Inclusion Summer Camps & Taster Sessions planned for 2023.  This survey is to gather an expression of interest for the camps and taster sessions that are listed below with a 1st and 2nd preference.   
Submitting a request does not guarantee a place. 
The criteria is a child with a disability or diagnosis, who lives or attends school in County Wicklow.  Each camp has an age range and after the above criteria is met, it is first come first serve. 

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* 1. 1st Choice: Please choose a camp or taster option as a first choice from the list below.

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* 2. 2nd Choice: Please choose a camp or taster option as a second choice from the list below.

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* 3. Parent/ Carer Full Name

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* 4. Parent/ Carer Email address

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* 5. Parent/ Carer Phone number

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* 6. Additional Parent/ Carer Contact Name (optional/ not required)

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* 7. Additional Parent/ Carer Contact email address (optional/not required)

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* 8. Additional Parent/ Carer contact number (optional/not required)

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* 9. Full Address

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