Recruitment Form

Please fill out form if you are interested in coming to the University of Limerick and one of our coaches will be in contact.

Personal Information

First Name	* Required
Surname	*
Date of Birth
Address
Address 2
Address 3
County
Country
Phone	*
Email
Parent Firstname	*
Parent Surname	*
Parent Phone	*
Parent Email

School Information

Current School
Leaving Cert Year
Courses Interest	Enter Information Here

Rowing Information

Current Club
Coach Firstname	*
Coach Surname	*
Coaches Phone	*
Coaches Email
Scull	Yes
	No
Sweep	Yes
	No
Best 5k Erg
Best 2k Erg
Best 500 Erg
Achievements	Enter Information Here