Safety Quiz Finalist – Form

Quiz Finalists

This form is to be filled in by teams who have won their regional quiz finals.

NISO / NISG All Ireland Safety Quiz Finals

The All Ireland Safety Quiz Finals will be held in the Tullamore Court Hotel, Tullamore, Co. Offaly, R35 D406 on Saturday, 14 May 2022 commencing with registration at 14:30hrs, the quiz at 15:00hrs. and the dinner and presentations at 19:30hrs.

I am the contact person for the quiz team(Required)

Yes

Name of person making the booking(Required)

Email address of person making the booking(Required)

Organisation of person making the booking(Required)

Name of contact person for quiz team(Required)

Email address of contact person for quiz team(Required)

Mobile Phone of contact person for quiz team(Required)

Information about the regional finalist team

What region are you representing?(Required)

Which category of competition are you entering?(Required)

Route to Qualification(Required)

2020

2022

I qualified as a result of winning the regional final in:-

Quiz team member no. 1(Required)

Quiz team member no. 2(Required)

Quiz team member no. 3

Quiz team member no. 4

Organisation / Team name(Required)

Number of Persons availing of dinner (complimentary)(Required)

Please enter a number from 0 to 20.

The total number of persons in your party, including quiz team members, that are staying for dinner and the presentation of prizes (7.30pm). After supplying numbers to us, should any of your party be unable to attend, please let us know to enable us to avoid unnecessary costs.

Thank you for completing the form

We look forward to your team's participation at the All Ireland finals in the Tullamore Court Hotel, Tullamore, Co. Offaly, R35 D406, on Saturday, 14 May 2022 commencing with registration at 14:30hrs.