All Weather Pitch Request Form

Group Name *

Contact Name *

First

Last

Email *

Contact Number *

If you have any specific requirements please highlight below:

Type of Group *

Type of Booking *

Pitch Size *

Start Date / End Date *

Ideal Time Slot *

Terms & Conditions *

Title

Membership options include, single, couples, corporate rates, students & senior citizens. Full Gym, Personal Assistance, Sports Hall, Fitness Classes

Brigown Road, Mitchelstown, Co. Cork, P67 EK58

Email: mitchleisure@gmail.com

Phone: (025) 52102