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.
Phone
This field is for validation purposes and should be left unchanged.

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