Online Booking Form

Courses will be offered on a first come first served basis and are subject to change and/or cancellation. 

Confirmation of a place on the course/s you wish to attend will be confirmed by post if spaces are available. 

Places are limited to two per service. If you require further places, please contact us on 0404-64455 prior to submitting your booking form to check availability.

Name/s*

Address for receipt*

Telephone Number*

Mobile Number*

Your Email*

Name & Address of Childcare Service*

DCYA No.*

Position in Service*

OwnerManagerChildcare WorkerChildminderOther (please specify below)

Other:

Title of Course/s you wish to attend*

Dates of Course/s you wish to attend*

Please specify if you have any special dietary requirements if attending lunch on full day courses

By ticking this box I understand my contact details will be stored on Wicklow County Childcare Committees database for the purpose of registering you for this event. For further information please see our Privacy Policy on our website.

*these fields must be completed

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