Fort2Fort Cycle – Registration Form

Please enter only letters (A-Z a-z) or numbers (0-9) Special Characters (:<>/%#&?',) cannot be processed
7 characters, no spaces
Eg. +353 87 1234567 or +353 21 7654321
Please note this must be someone not taking place in the event - If you provide someone taking part we will need to contact you so you can provide another NOK
Eg. +353 87 1234567 or +353 21 7654321
Please provide a mobile number you would like to receive Text Alert on in case of any updates on in case of necessary updates. Please note this number will only be used if there is a change to the event and not for marketing purposes. Please use the format of 08712314567

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

(we have just two mail campaigns a year)
(we will never ring you more than three times a year)
(we can send you our monthly e-zine with updates, stories and more)
Click here to read our Terms and Conditions which you need to agree to below.

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