Dip In for LauraLynn You must have JavaScript enabled to use this form. Register to get your FREE Dip In for LauraLynn Swim Hat! First Name* (required) Last Name* (required) Email Address* (required) Phone* (required) Address* (required) Address Line 1* (required) Address Line 2 City/Town* (required) County* (required) - Select -Co AntrimCo ArmaghCo CarlowCo CavanCo ClareCo CorkCo DerryCo DonegalCo DownCo DublinDublin 1Dublin 2Dublin 3Dublin 4Dublin 5Dublin 6Dublin 6WDublin 7Dublin 8Dublin 9Dublin 10Dublin 11Dublin 12Dublin 13Dublin 14Dublin 15Dublin 16Dublin 17Dublin 18Dublin 20Dublin 22Dublin 24Co FermanaghCo GalwayCo KerryCo KildareCo KilkennyCo LaoisCo LeitrimCo LimerickCo LongfordCo LouthCo MayoCo MeathCo MonaghanCo OffalyCo RoscommonCo SligoCo TipperaryCo TyroneCo WaterfordCo WestmeathCo WexfordCo Wicklow Eircode* (required) Opt-in elements We would love to keep you updated about our work and let you know how you can continue to help support the services of LauraLynn. Yes, I’m happy to receive emails Yes, I'm happy to receive phone calls You can withdraw your consent at any time by contacting us at fundraising@lauralynn.ie. We may also keep you updated by post, you can update your postal preference at any time by contacting us at fundraising@lauralynn.ie. For further information please see our privacy policy. I agree to my data being shared with iDonate for the purpose of online fundraising* (required)