Male Only - Dip in the Nip 2024 | Wicklow Hospice, Our Lady's Hospice & Care Services

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Are you male? *

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Are you over 18? Please not this event is for adults only. *

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My Contact Details

Emergency Contact Person

Please provide the details of someone we can contact in the event of an emergency.

Contact Name *

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How did you hear about Dip in the Nip ? *

Are you taking part for a particular reason?

I understand that participating in this event is potentially hazardous, and that I should not enter and participate unless I am medically able and properly prepared. In consideration of the acceptance of this entry, I assume full and complete responsibility for any injury or accident which may occur while I am travelling to or from the event, during the event, or while I am on the premises of the event. I am also aware of and assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, effect of weather, traffic, and conditions of the road. I, for myself and my heirs and executors, hereby waive, release and forever discharge the event organizers, sponsors, promoters and each of their agents, representatives, successors and assigns, and all other persons associated with the event, for all my liabilities, claims, actions, or damages that I may have against them arising out of or in any way connected with my participation in this event. I understand that this waiver includes any claims, whether caused by negligence, the action or inaction of any of the above parties, or otherwise. I hereby grant full permission to any and all of the above parties to use any photographs, videotapes, motion pictures, website images, recordings or any other record of this event.  I confirm that I DO NOT have any injury, disease or medical conditions that would prevent me from taking part in the event or endanger myself or any other participant. I understand the nature of the event and I fully accept that I take part totally at my own risk I understand that upon entering I am not entitled to a refund, I cannot swap my entry for a future event, and I cannot transfer my entry to another.

I have read and understand the Terms & Conditions

Wicklow Hospice, Our Lady's Hospice & Care Services

Male Only - Dip in the Nip 2024

My Details

Create or Join a Team

My Contact Details

Emergency Contact Person

My Address

Donations

Male Only - Dip in the Nip 2024

My Details

Create or Join a Team

My Contact Details

Emergency Contact Person

My Address

Donations

Create a team

Join a team

Invite your friends

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