Your Name
(Required)
First Name
Last Name
Your Email
(Required)
Enter Email
Confirm Email
Phone Number
(Required)
How would you like to register?
(Required)
Individual
Create a Group
Individual
(Required)
Individual Hike
Join a Guide
Pick a guide
(Required)
First Choice
Second Choice
Third Choice
Group Name
(Required)
Select Mountain
(Required)
Select
Carrauntoohil
Beenkeragh
Caher
Cnoc na Péiste
Maolán Buí
Cnoc an Chuillin
The Bones Peak
Keep hike annoymous or add to map?
(Required)
Add to interactive map
Keep private
Fundraising Target
(Required)
€100
€250
€500
Please select your fundraising page target
Product Name
Donate towards the hike
€25
€50
€100
Or Custom Amount
Please enter a number greater than or equal to
5
.
How did you hear about Jack's 7 Mountains 7 Days Challenge?
Social Media
Email
From my company
Friends / Family
Other
Do you want to buy a one in four t-shirt for €15?
(Required)
Yes
No
T-shirt size
(Required)
XS
S
M
L
XL
Your Address
(Required)
Address Line 1
Address Line 2
Town
County
Eircode
Please enter your address to send the t-shirt
T-Shirt
Price:
Total
Payment Details
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Terms & Conditions
(Required)
I accept the Terms & Conditions
By registering to take part in the event, you are agreeing to abide by the terms and conditions and acknowledging a fundraising page will be created upon submission of the form. Please read
these
before completing your registration.
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Joined Team Name