PTO

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Argideen Rangers GAA JUVENILE MEMBERSHIP, APPLICATION FORM 2018 Family Name: _____________________________________Family Name in Irish: ____________________

Date of Birth

Player's Name

Date Month Year

Dexterity ( L/R)

Address: _______________________________________________________________________________

Medical Allergies / Conditions

Phone: _______________________Mobile (Parent) ____________________ Fees Paid _____________ Email: ______________________________________________________________

   

I hereby apply to Argideen Rangers GAA Club for Membership of the above Club and Juvenile Membership of Cumann Luthchleas Gael (The Gaelic Athletic Association). I subscribe to, and undertake to further the aims and objectives of the Club and of Cumann Luthchleas Gael (The Gaelic Athletic Association) and to abide by its Rules, and Code of Conduct. I attach herewith the appropriate membership fee as determined by the above Club. During the season our teams may be photographed or filmed for coaching purposes, or as part of match coverage in newspapers or for use on our club web site or for promoting our Club. Such photographs will adhere to the GAA Guidelines for use of photography and filming and should you object to your child being photographed or filmed please inform your team manager as part of this registration procedure. I understand that photographs/videos maybe taken during or at events in which the club participates and maybe used for the sole purpose of promoting the GAA.

Signed : Parent(s) / Guardian(s), on behalf of the above named child / children:

P.T.O.

Communication: It is the club’s preference that information on team training, games or club news etc. will be sent to you on a regular basis via WhatsApp and/or Viber. Contact Name:______________ WhatsApp User

Mobile:

□ Viber User □

Club Assistance:

Due to the ongoing demands of running the club we now need the help of parents to insure we can accommodate all the players. We would greatly appreciate your support in one of these areas. Coaching



Training Supervision



Club Administration

Lotto



Fund Raising



First Aid

Refreshments Rota on training Days







Other (please Specify) _______________

FOR OFFICAL USE ONLY Membership Type: _________________ Amount Paid: __________Received by: ________________ Juvenile Membership approved by Club Executive on: _____________________________Data/Date Sinithe: _________________________________________________________________ Club Runai Registered in Central Membership Database on: _________________________________Data/Date Membership Identification Number: ___________________________________________