18 18 November
Volleyball Ireland Masters Tournament 2017/18 18 November 2017 ALSAA, Old Airport Road, Dublin Airport, Co. Dublin
PLAYER REGISTRATION FORM Name: Email: Phone: Please confirm the following: I confirm that I am over 40 years of age Yes ____ No _____ If no, I confirm that I am over 35 and not registered as a Premier League player ____ Please complete one of the below options: Player information
Team information
I want to be allocated a team
I am entering as part of a team
Yes ___ No ___
Yes ___ No ___
If yes, please include your preferred playing position:
Team Name: _____________
________________ Team Captain: ____________
Entry Fee: €5 CLOSING DATE: 15 November 2017 Please pay via cheque or cash and send to Volleyball Ireland, 141 Thomas Street, Dublin 8. Alternatively, pay via PayPal to [email protected] I hereby consent to and agree: • That when participating in Volleyball Ireland competitions, to do so in accordance with the Rules and Regulations of Volleyball Ireland, (comprising of the Competition Rules, Constitution & Bye-Laws of Volleyball Ireland); • To be bound by the Rules and Regulations of Volleyball Ireland, the procedures and any decisions made in accordance with the Rules and Regulations including disciplinary and anti-doping matters and the Code of Ethics & Good Practice for Children in Sport, and; • To permit my details to be stored in a Volleyball Ireland database and to be used for Volleyball purposes.
Signed ___________________________
Date _______________
Volleyball Ireland, 141 Thomas St., Dublin 8. T +353 1 6707165; F +353 1 6707167; E [email protected]; W www.volleyballireland.com The Volleyball Association of Ireland Limited by Guarantee, t/a Volleyball Ireland - Registered in Ireland - Company No: 317399
PLAYER REGISTRATION FORM Name: Email: Phone: Please confirm the following: I confirm that I am over 40 years of age Yes ____ No _____ If no, I confirm that I am over 35 and not registered as a Premier League player ____ Please complete one of the below options: Player information
Team information
I want to be allocated a team
I am entering as part of a team
Yes ___ No ___
Yes ___ No ___
If yes, please include your preferred playing position:
Team Name: _____________
________________ Team Captain: ____________
Entry Fee: €5 CLOSING DATE: 15 November 2017 Please pay via cheque or cash and send to Volleyball Ireland, 141 Thomas Street, Dublin 8. Alternatively, pay via PayPal to [email protected] I hereby consent to and agree: • That when participating in Volleyball Ireland competitions, to do so in accordance with the Rules and Regulations of Volleyball Ireland, (comprising of the Competition Rules, Constitution & Bye-Laws of Volleyball Ireland); • To be bound by the Rules and Regulations of Volleyball Ireland, the procedures and any decisions made in accordance with the Rules and Regulations including disciplinary and anti-doping matters and the Code of Ethics & Good Practice for Children in Sport, and; • To permit my details to be stored in a Volleyball Ireland database and to be used for Volleyball purposes.
Signed ___________________________
Date _______________
Volleyball Ireland, 141 Thomas St., Dublin 8. T +353 1 6707165; F +353 1 6707167; E [email protected]; W www.volleyballireland.com The Volleyball Association of Ireland Limited by Guarantee, t/a Volleyball Ireland - Registered in Ireland - Company No: 317399
