Loop Head Rowing Club Membership Application Form

Name*

First NameLast Name

Address of Applicant*

Line 1

Line 2

Line 3Line 4

Eircode

Date of Birth of Applicant *

DayMonthYear

E-mail Address of Applicant*

Please note that for applicants under 18, permission will be required from a parent/guardian.

E-mail Address of Parent/Guardian

example@example.com

Phone Number of Applicant*

Do you, as the applicant have any medical conditions?*

YesNo

If you answered yes, please give brief details

Emergency Contact Information

Emergency Contact's Name*

First NameLast Name

Relationship to Applicant*

Phone Number*

Data Protection

GDPR- This Section must be read and completed in every instance. Loop Head Rowing Club will only use your personal information in relation to your membership of the club. Loop Head Rowing Club will not divulge any of your personal data to any third party. Do you authorise Loop Head Rowing Club to retain this Data for the purpose stated above?*

YesNo

PLEASE NOTE

As a sports club, we often capture the excitement, achievements, and memorable moments that happen during our events, activities, and fundraising efforts. To help us share these moments and promote our club, we use photographs, videos, and other content across various platforms such as social media, promotional materials, local media, and our official website. Occasionally, we may also share these images with grant providers or community stakeholders.

Please be aware that in order to ensure smooth communication and promotion of our activities, we operate on an "opt-out" consent basis. This means that unless you notify us otherwise, we will assume you are happy for us to use images or footage that may include you for these purposes.

Next Steps

Please note that Loop Head Rowing Club reserves the right to approve membership.
After submitting your application form, please await our confirmation before proceeding with payment.
Our annual membership fee is €50.
Once you hear from us confirming membership, we will let you know of payment methods.

Thank you! We look forward to seeing you on the water!