Membership Form 2014 .docx
2017 MEMBERSHIP FORM
MEMBERSHIP TYPE: (please tick to indicate) Family Plan 1 (1/2 Adult & 1/2 Juvenile/Full Time Student) €330 (
) Family Plan 2 (1/2 Adults & 3 Juvenile/Full-time Students) €350 ( ) Full Playing Member €200 ( ) Full Member €140 ( ) Youth Member €150 ( ) Full Time Student (ID reqd.) €150 ( ) Social/Unwaged €65 ( ) Senior Citizen €30 ( ) First Name:_____________________________________Surname:______________________________________________ Member Address:______________________________________________________________________________________ Home/Mobile Number: _______________________Email Address: _____________________________________________ Parental Consent to be completed for all Juvenile Members. I confirm, that as a Parent/Guardian of my child(ren) listed below, I give permission for him/her/them to participate in St. Judes GAA Club games and other related activities. St Judes GAA Club promotes the GAA Code of Behaviour and insists that all players, mentors, coaches, parents & guardians adhere to this code. During the season our teams may be photographed or filmed for coaching, match coverage and/or promotional activities. These images will adhere to the GAA guidelines for filming/photography. Should you object to your child appearing in these images, please inform the team mentor ASAP. Additionally, information on team training, games or club news will be sent to you on a regular basis via group texts / emails. It is this Club's policy that this information be sent to the parents or guardians of our under age players rather than directly to the under-age players. Signature: _______________________________Telephone contact number: _____________________
Name
Date of Birth
School
Hurling / Camogie / Football
Medical Notes (if any)
Amount Paid: _________________ Payment Type: Cash ( ) Cheque ( ) VISA/Mastercard ( ) Card Number:_____________________________ Exp Date:_____________ ONLY NEW APPLICANTS TO COMPLETE THIS SECTION: All new applicants must be proposed and seconded by two Full Members. Full or Social Member Applicants must be 18 years or over and proof of age may be required. St. Judes GAA Club reserves the right to refuse membership. Proposer:___________________________ Seconder_________________________________ PREVIOUS CLUB: All new applicants (of any age) that have, at any time in the past, been a member of another GAA club need to complete this section. This is important in case an officially sanctioned transfer is required. St. Jude's GAA Club reserves the right to refuse membership. Previous Club:___________________________ Date last registered with Previous Club:________________________________
MEMBERSHIP TYPE: (please tick to indicate) Family Plan 1 (1/2 Adult & 1/2 Juvenile/Full Time Student) €330 (
) Family Plan 2 (1/2 Adults & 3 Juvenile/Full-time Students) €350 ( ) Full Playing Member €200 ( ) Full Member €140 ( ) Youth Member €150 ( ) Full Time Student (ID reqd.) €150 ( ) Social/Unwaged €65 ( ) Senior Citizen €30 ( ) First Name:_____________________________________Surname:______________________________________________ Member Address:______________________________________________________________________________________ Home/Mobile Number: _______________________Email Address: _____________________________________________ Parental Consent to be completed for all Juvenile Members. I confirm, that as a Parent/Guardian of my child(ren) listed below, I give permission for him/her/them to participate in St. Judes GAA Club games and other related activities. St Judes GAA Club promotes the GAA Code of Behaviour and insists that all players, mentors, coaches, parents & guardians adhere to this code. During the season our teams may be photographed or filmed for coaching, match coverage and/or promotional activities. These images will adhere to the GAA guidelines for filming/photography. Should you object to your child appearing in these images, please inform the team mentor ASAP. Additionally, information on team training, games or club news will be sent to you on a regular basis via group texts / emails. It is this Club's policy that this information be sent to the parents or guardians of our under age players rather than directly to the under-age players. Signature: _______________________________Telephone contact number: _____________________
Name
Date of Birth
School
Hurling / Camogie / Football
Medical Notes (if any)
Amount Paid: _________________ Payment Type: Cash ( ) Cheque ( ) VISA/Mastercard ( ) Card Number:_____________________________ Exp Date:_____________ ONLY NEW APPLICANTS TO COMPLETE THIS SECTION: All new applicants must be proposed and seconded by two Full Members. Full or Social Member Applicants must be 18 years or over and proof of age may be required. St. Judes GAA Club reserves the right to refuse membership. Proposer:___________________________ Seconder_________________________________ PREVIOUS CLUB: All new applicants (of any age) that have, at any time in the past, been a member of another GAA club need to complete this section. This is important in case an officially sanctioned transfer is required. St. Jude's GAA Club reserves the right to refuse membership. Previous Club:___________________________ Date last registered with Previous Club:________________________________
