Danny Crowley Christmas Swim 2022 Registration

To register for the Danny Crowley Christmas Swim 2022 fill in the details below. If you are registering on behalf of a group / family please enter the details of the 1st Adult and list the rest of the group below.

Your details / First Adult Details

Enter your details below, if you are registering on behalf of a group / family enter the first adult details here.

Title *

First Name *

Surname *

Email *

Email Again *

Address Line 1 *

Address Line 2

Address Line 3

Town/City *

County *

Phone *

Eg. +353 87 1234567 or +353 21 7654321

Group Details

Your Family / Group names

Please list the full names (First and last name) of the rest of your group. Please note by entering a name here you are agreeing to the T&C on behalf of these group / Family members.

The Work of the Mercy

Would you like us to keep you updated about the fundraising appeals of the Mercy? Tick or untick the boxes as you wish.

I'd like to be updated by post *

(we have just two mail campaigns a year)

Yes

I'd like to be updated by phone *

(we will never ring you more than three times a year)

Yes

I'd like to be updated by e-mail *

(we can send you our monthly e-zine with updates, stories and more)

Yes

You have ticked NO to all communications. If you would like to receive our annual Newsletter in the post please tick your choice below *

Yes - I am happy to receive only the annual Newsletter in the post

No, I do not want to receive any communications at all from The Mercy Hospital Foundation

Terms & Conditions

To find a full list of the Terms and Conditions visit The Terms and Conditions page. *

Please note if you are the first adult of a group / team, you agree to the terms and conidiations for the whole group.

I have read and agreed to the event T&C

(please note, you can contact us to change your communication settings by ringing 021-4274076, emailing christine@mercyhospitalfoundation.ie or writing to 4 Washington Street West, Cork, T12 CVH2. Our full data protection/privacy policy is available by clicking here)

Danny Crowley Christmas Swim 2022 Registration

Your details / First Adult Details

Group Details

The Work of the Mercy

Terms & Conditions

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