Childrens NICAS Course September 2026

6 Week Childrens NICAS Course September 2026 Registration - Saturday 9 am
How many children do you wish to book?*

1
Child 1 Details
First Name *
Surname *
Child Age*
Age when attending course
Child Date of Birth*
Age when attending course
Health Information

All fields are required below. If nothing applies, please put "NONE" in the box.
List any past medical treatment that would be helpful for us to know.
Please review before moving to Parent & Payment details
Contact Information
Parent / Guardian Name*
Contact Number Mobile *
Contact Work Number
Parent / Guardian 2 Name
Contact Number Mobile
Contact Work Number
Email Address*
ID Number
Staff/Student/Member ID number for member rate only
Parent/Guardian Signature*

My Products*

September 2026 (Saturday 9 am) NICAS Children Member/UCC Staff/UCC Student Rate

Member/UCC Staff/UCC Student Rate

€85.00 Quantity
Item subtotal:€0.00

September 2026 (Saturday 9 am) NICAS Children Non-Member Rate

€100.00 Quantity

Total

€0.00

Child 1 Details