Dreadnots GFC Juvenile registeration form 2015. (1)
0 likes163 views
This document is a youth membership application form for Cumann Lúthchleas Gael (Gaelic Athletic Association). It requests the applicant's name, address, date of birth, phone/email, and asks them to select a club and agree to abide by the rules of the GAA. The parent or guardian must also sign to consent to the application and certify that they have read and agree to the club's child protection policy for the year. Membership fees are listed for boys and girls of different ages.
Dreadnots GFC Juvenile registeration form 2015. (1)
- 1. Cumann Lúthchleas Gael Youth Membership Application Form Ainm/Name: _________________________________________________ Seoladh/Address: ______________________________________________ ____________________________________________________________ Phone/Fax/Email (if available): ___________________________________ Date of Birth: Day Month Year (e.g. 06 02 99) I hereby apply to: _ Club for Membership of the above Club and Youth Membership of Cumann Lúthchleas Gael (The Gaelic Athletic Association) -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------- I subscribe to and undertake to further the aims and objectives of the Club and of Cumann Lúthchleas Gael (The Gaelic Athletic Association), and to abide by its Rules, and I attach herewith the appropriate membership fee as determined by the above Club. Sinithe/Signed _____________________________________ Data: _ _______________________ Print Name: _____________________________________ _________________________ _______ Parent(s)/Guardian(s), on behalf of the above named: - We/I consent to the above Application and to undertakings given by the Applicant. We/I certify that We/I have read and agree with the Dreadnots GFC Child Protection Policy for 2015 Sinithe/Signed ____________________( Parent/Guardian) Dáta ______ ___________________ Print Name: ______________________ Parents E-Mail Address:________________________ In Case of Injury: Please advise the club if your child suffers from any medical condition or allergy or is on medication of any type and the reason for the it. For Official Use only: Payments: 1st Child = €30; 2nd Child=€40; 3rd Child = €60. All Girls over 12 must pay a fee of €66 Youth Membership Application approved by Club Executive on Data Sinithe: ______________________________ Club Runai. Registered in Central Membership Database on _________________ Membership Identification Number: _________________________ Dreadnots GFC