Register for September Sea Swim

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Home Address(Required)

Street Address Address Line 2 City State / Province / Region Eircode

What county will you be swimming in?(Required)

How did you hear about September Sea Swim?(Required)

Social Media

From my company

Friends/Family

Radio

Other

I am happy to receive email updates on Childline’s work, future fundraising opportunities and how I can support(Required)

Yes