Membership Application Form 2019

Membership Type:
Family €220 This covers two Parental members and all children both Junior & Student statusSenior €130 Adult Members onlyStudent €40 Aged16-23 on January 1st of Membership year. Attending 2nd or 3rd level education full timeJunior €40 Aged under 16 on January 1st of Membership year.

Senior Member Name:       Mobile: Email:
Senior Member Name:       Mobile: Email:
Junior / Student Member:  D.O.B:      Email:
Junior / Student Member:  D.O.B:      Email:
Junior / Student Member:  D.O.B:      Email:
Junior / Student Member:  D.O.B:      Email:
Tel:

Address:

Please review the following in order to complete your Membership Application
I agree that my data can be used for Club activities and related events Yes
I agree to abide by the Club's Rules and Regulations Yes
Do you give permission for my children’s photograph to be taken for use on the club website or newspapers
I give permissionI don't give permissionNot Applicable

Your Name:
Parent/Guardian for Junior(s), or Senior or Student applicant