Club Application 2026

NERL Application 2026
Full Club Name
Secretary

First NameLast Name
Secretaries Email

Confirmation Emailexample@example.com
You can click save and return latter and send the link to your own email to return to the form at any time.
Insurance Details
If your insurance is with the NERL just type that with a renewal of 31/12/2025
Insurance Company
Policy Number
Expiry Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate

Web Links
Web Site
Facebook
Instagram
Threads
X Formally Twitter
Tik Tok

Kits
For each kit you have please give it a name i.e. Home, Away or what ever is most appropriate. You can add additional kits by clicking

add additional kit
Kit Colours

Officers of Club

Secretary
Address

Street Address

Street Address Line 2

TownCounty

Eir code
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Secretaries Email
example@example.com
Phone Number
Format: (000) 000-0000.
Secretaries Garda Vetting
Secretaries Safeguard 1

Officers of Club

Charirperson
Charirperson

First NameLast Name
Chairpersons Phone
Format: (000) 000-0000.
Chairpersons Email
example@example.com
Chairs Garda Vetting
Chairpersons Safeguard 1
Chairpersons Safeguard 3

Officers of Club

Club Childrens Officer
CCO Name

First NameLast Name
CCO Phone
Format: (000) 000-0000.
CCO Email
example@example.com
CCO Garda Vetting
CCO SafeGuard 1
CCO Safe Guard2

Officers of Club

PRO
PRO Name

First NameLast Name
PRO Phone
Format: (000) 000-0000.
PRO Garda Vetting
PRO Safe Guard 1

Teams
Do you have Club Mark
Coaching Leagues in the MDL

Only U7, U8, U9 and U10 can choose a day to play. Days are selected are not guaranteed

If you give your coaching league teams a name, fill in the Team name, names such as Tigers, Lions, etc otherwise, leave it blank. Please click add more teams for each team.
Teams

Submit Form
You must click submit to send your CLUBS DETAILS once you have proved you are human and consent to data capture
Submitted By
Please verify that you are human
I consent on behalf of my club for the NERL to store this data as part of their annual formation
2023 Application Completed
2026 Application Completed
2025 Application Completed
2024 Application Completed
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