HSE Cork North Community Work Department
“Keep Well, Keep Movin” Older Adults Community Health Festival
Monday 12 th June Neptune Stadium
10am -3pm
Group Booking Confirmation Form
Name of Group:
Name of contact person for group:
Contact number/email:
Number of people attending on behalf of your
group:
Dietary requirements of any group attendees:
Do you have any accessibility needs:
If yes, please specify.
We will have a photographer at the event. Do you
give photo consent:
Queries:
If you require any further information on this event please contact
“Keep Well, Keep Movin” Older Adults Community Health Festival
Monday 12 th June Neptune Stadium
10am -3pm
Group Booking Confirmation Form
Name of Group:
Name of contact person for group:
Contact number/email:
Number of people attending on behalf of your
group:
Dietary requirements of any group attendees:
Do you have any accessibility needs:
If yes, please specify.
We will have a photographer at the event. Do you
give photo consent:
Queries:
If you require any further information on this event please contact
Nicola Lucey,
Community Worker
CKCH,
Cork North Community Work Department,
Old Library Building,
St Marys Rd,
Cork
Eircode T23 TX21
086 4668484


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