Kinsale Arts Week 2006

Design Project & Fashion Show - The Waterworks Collection

REGISTRATION FORM
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Name
Address
Mobile Telephone No.
Home Telephone No.
Date of Birth
Age
School Attended
Are you Entering as an Individual yes/no
If team entry, please list names:
PARENTAL CONSENT: Signed
Date

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Please return to:

Adrian Wistreich,
Ballinacurra,
Kinsale,
Co.Cork

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All entries must be registered by 31st March 2006. you can type in your details onscreen on this form - press the "Print" button below and ask your parent or guardian to sign the PARENTAL CONSENT at the bottom of the form.

SPONSERED BY