LIT Application Form

Please fill out this form as accurately and honestly as possible.

Should you need assistance or information please contact Doireann Ní Mhuircheartaigh (Camper Liaison) at dnimhuircheartaigh@caracentre.ie or telephone 066-7144245 or contact Gearóid O Doherty (Camp Abilities Coordinator) at godoherty@caracentre.ie or telephone 066-7144250.

This form is also available in hard copy and can be posted to you on request.

Contact Details
LIT Name * Required
First Last
Address * Required
Street Address Address Line 2 City State / Province / Region Eircode
Date of birth * Required
Day
Month
Year
Telephone number
Mobile number * Required
Email * Required
Have you attended Camp Abilities before? * Required
- Yes
- No
What year(s) did you attend? * Required
Once you complete this sign up, Camp Abilities will be in touch to send on the full application form. You must then fill out and return the form to Camp Abilities.
Would you prefer to receive this Application form via: * Required
- Post (post a copy of the application to my address above please)
- Email (Email me a copy of the application form so I can print it off myself please)
- Both (Post and Email me a copy please)
- Other
If you would like it in a different format, please let us know what would work best for you * Required
How did you hear about the Leader in Training Programme? * Required
Privacy Policy * Required
This form collects your details above so we can process your application. Please see our privacy policy for more information.
- I consent to you collecting my details above.
Email
This field is for validation purposes and should be left unchanged.

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LIT Application Form

Contact Details

Once you complete this sign up, Camp Abilities will be in touch to send on the full application form. You must then fill out and return the form to Camp Abilities.

Our Events

Active Disability Ireland News

LIT Application Form

Contact Details

Once you complete this sign up, Camp Abilities will be in touch to send on the full application form. You must then fill out and return the form to Camp Abilities.

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