Name * Local Authority to Local Authority/Other Agency * - Select - Carlow County Council Cavan County Council Clare County Council Cork City Council Cork County Council Donegal County Council Dublin City Council Dun Laoghaire Rathdown County Council Fingal County Council Galway City Council Galway County Council Kerry County Council Kildare County Council Kilkenny County Council Laois County Council Leitrim County Council Limerick City & County Council Longford County Council Louth County Council Mayo County Council Meath County Council Monaghan County Council Offaly County Council Roscommon County Council Sligo County Council South Dublin County Council Tipperary County Council Waterford City & County Council Westmeath County Council Wexford County Council Wicklow County Council Other Agency E-mail Address * Contact number * I work in Roads and the Director has agreed to charge the RLR Training Grant * - Select -YesNo If not then PO number I wish to reserve a sitting for the gala dinner on the 9th May * - Select -YesNo Any Dietary requirements * Leave this field blank