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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 * 
Email 
Mobile Number* 
Home Number 
Date of Birth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   1 2 3 4 5 6 7 8 9 10 11 12   2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932  
  Note:Anyone can participate in the Young Entrepreneur Programme however only registrants between the ages of 15 and 23 can submit a business plan for the awards

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I Agree to the Young Entrepreneur Programme Terms And Conditions * 
I can be contacted via email and mobile number