Join IWA-Sport

Name
This field is for validation purposes and should be left unchanged.
Join IWA-Sport
Membership is open to anyone with a physical disability – you do not need to be a wheelchair user
Are you over the age of 18?*
- Yes
- No

Disability*
Please indicate the nature of your disability
Do you use a mobility aid and/or device?*
- Yes
- No
What type of mobility aid do you use?*
- Manual Wheelchair
- Powered Wheelchair
- Walking Aid
- Other
Describe your mobility aid*

Telephone no*
Enter your landline telehphone number. If you do not have a landline, enter a mobile or other contact number.
Applicant Email*

Enter applicants email address. This field is required for online applications
Parent / Guardian Email*

Enter email address of parent / guardian. This field is required for online applications
Data processing consent*
I understand that by ticking this box, I consent to the data I have entered into this form to be processed in accordance with Irish Wheelchair Association’s Privacy Policy and Terms of Service.

Privacy Overview