Make cheque/postal order [@ €16 or €23 (including transport at the end)] per person) payable to Ms Catherine Fenton, with a stamped addressed envelope.
A Control card, which also represents an acknowledgement of pre-booking, will be sent in advance, to each participant for use on the day of the Lug Walk.
The Control Card provides the walker's number for the day of the Lug Walk.

LUG WALK 2005
APPLICATION FORM

Name (BLOCK CAPITALS PLEASE).___________________________________________

Address_________________________________________________________

___________________________ Home Tel. no._________________

___________________________ Mobile Tel. no._________________

Age range: please circle 18-40 41-65  Over 65 

Colour of waterproofs_______________________________________________

Are you a member of a hill walking club Yes  No 
- If so which one?________________________________________________

List any similar walks you have done___________________________________

Are you participating as a group? Yes  No 
· It is necessary to pre-enter for the walk.
· The closing date for receipt of entries is June 9th 2005
· Entries will not be accepted on the day of the walk.
· Please enter early as numbers are limited for safety and environmental reasons.

Entry fee / person € 16
Do you require free transport from Spawell, Templeogue to start Yes  No. 
Do you require transport from Glen of Imaal to Templeogue: Yes  No. 
- at an extra cost per person of € 7
- Transport from the Glen of Imaal back to Templeogue
is only guaranteed if pre- booked.

Do you require your change of clothes to be brought Yes  No. 
from Spawell car-park to the Glen of Imaal. (No charge)

Please read the Lug Walk conditions and sign below:
I have read the conditions of entry and whilst every effort is made by the organisers to guarantee my safety  I enter at my own risk and understand that the organisers, anyone publicising the event or landowners concerned cannot be held responsible for any mishap or injury to myself, however caused.

I do not suffer from any physical disability.

Signed________________________________________