Health & Wellbeing Provider Form

'What’s On' will be an online health and wellbeing directory for Co Carlow. The directory will include a wide-range of services, groups and amenities to help the people in Carlow to get active and enjoy good physical health, mental health and wellbeing.
 
'What's On' in Carlow is an initiative of Carlow Local Community Development Committee (LCDC) as part of the Healthy Carlow County Plan 2018 -2021 which is aimed at improving health outcomes for people in Carlow.
 
Please note:
  • The form will take approximately five minutes to complete. Please complete each section as fully as possible. 
  • We reserve the right to post, modify or delete any information submitted to the directory.
  • If we have any queries about the information provided, the team will contact you. 
  • We expect the directory to be published in the coming months.
  • The deadline for submissions is Monday, 11th March 2019.
Thank you for taking the time to submit your information and helping to make Carlow a healthier place to live!
 

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* 1. Provider Information

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* 2. Please describe your service / group / amenity. 
(Max 100 words) 

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* 3. How can people get  involved?
(Please provide details of how people can access your service  or join your club) 

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* 4. Category (Please choose all that apply)

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* 5. Subcategory (Please choose all that apply)

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* 6. Who are your target audience? (Please choose all that apply)

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