Register Now for Young Entrepreneur Programme 2012/2013

First Name* 
Last Name* 
Address 1* 
Address 2 
Town Select... Boherbue Caherciveen Dingle Drogheda Hospital Kanturk Kenmare Killarney Killorglin Limerick Listowel Millstreet Milltown Rathmore Tralee * 
County Select... Co. Cork Co. Kerry Co. Limerick Co. Louth * 
Name of Parent/Guardian* 

School Name Please Select School Name Ard Scoil Mhuire, Corbally, Limerick CBS, The Green Coláiste na Sceilge Gaelcholáiste Chiarraí Intermediate School Killorglin IT Tralee John The Baptist Community College, Hospital Killarney Community College Killorglin Community College Listowel Community College Mercy Mounthawk Secondary School Our Lady's College, Greenhills Pobalscoil Chorca Dhuibhne Pobalscoil Inbhear Scéine Presentation Secondary School Listowel Presentation Secondary School Milltown Presentation Secondary School Tralee Scoil Mhuire, Kanturk Scoil Phobail Sliabh Luchra St. Brendan's College St. Brigid's Presentation Secondary School St. Joseph's CBS St. Michael's College, Listowel * 
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