SIGN UP FOR STAR FOR A DAY

Thank you for choosing to join Star For A Day.

Please signup by completing the form below to activate your Personal Campaign Page and receive your sponsorship cards and registration pack by email.

Please note you must be over 12 to register. If you are between 12 and 18 you will need parental consent to participate in this event.

* Fields marked * are required

Your Contact Information

First Name (Required): *

Last Name (Required): *

Phone No (Required): *

Facebook ID:

Skype ID:

Address Information

Address (Required): *

Address 2:

Town (Required): *

County or Dublin District (Required): *

Postcode:

Country (Required): *

Choose Login Details

Username (Required): *

Password (Required): *

Confirm Password (Required): *

Email Address (Required): *

Confirm Email Address (Required): *

Communication Preferences

I would like to hear how my support is helping Youth Suicide Prevention Ireland by:

SMS
Post
Phone
Email

How did you hear about Star For A Day? (Required): *

Complete Your Registration

Tick the box provided as "I'm not a robot" to proceed (Required): *

By submitting this form you are agreeing to be bound by the terms and conditions of the Star For A Day Experience. If you do not agree to be bound by the terms and conditions of this event please do not register as a user. The Terms and Conditions can be found HERE

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