IVAN GORMALLY MEMORIAL MASTERS TOURNAMENT
Affiliated to: FIVB, CEV, Olympic Council of Ireland
IVAN GORMALLY MEMORIAL MASTERS TOURNAMENT 22 November 2015 PLAYER REGISTRATION FORM Name: Email: Phone:
Please confirm the following: I confirm that I am 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: 18 November 2015 Please pay via cheque or cash and send to Volleyball Association of Ireland, 141 Thomas Street, Dublin 8. Alternatively, pay via PayPal to [email protected]
Signed _____________________
Date _______________
Volleyball Association of 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 Ltd. - Registered in Ireland - Company No: 317399
IVAN GORMALLY MEMORIAL MASTERS TOURNAMENT 22 November 2015 PLAYER REGISTRATION FORM Name: Email: Phone:
Please confirm the following: I confirm that I am 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: 18 November 2015 Please pay via cheque or cash and send to Volleyball Association of Ireland, 141 Thomas Street, Dublin 8. Alternatively, pay via PayPal to [email protected]
Signed _____________________
Date _______________
Volleyball Association of 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 Ltd. - Registered in Ireland - Company No: 317399
