Membership Application Form 2020

Membership Application Form 2020
Name/Family Name

First NameLast Name
Address

Address Line 1

Address Line 2

TownCounty
Parent/Guardian (Required if U18)

First NameLast Name
Mobile Number
Home Number

Area CodePhone Number
Email
example@example.com
Known Medical Conditions
FAMILY (2 PARENTS & CHILDREN U16) (€160)ADULT PLAYER (€110)NON PLAYER (€60)STUDENT/JUVENILLE (€80)OAP (€50)
Signature

Clear
IF YOU WISH TO PAY DIRECT TO OUR BANK ACCOUNT HERE ARE THE DETAILS:

BANK:             AIB, ASHBOURNE, CO MEATH

A/C NAME:     GARRISTOWN GAELIC FOOTBALL CLUB NO1 ACCOUNT

IBAN:              IE58 AIBK 9323 9606 6210 11

BIC:                 AIBKIE2D
I subscribe to and undertake to further the aims and objectives of the Club and of the Ladies Gaelic Football Association/Cumann Lúthchleas Gael (The Gaelic Athletic Association) and to abide by its Rules, and I attach herewith the appropriate membership fee as determined by the above Club.
- I understand the personal data on this form (“Personal Data”) will be used by the Club, LGFA and the GAA for the contractual purpose of registering (or re-registering) and maintaining my Membership.
- I understand that the Personal Data will be retained by the Club and the LGFA/GAA for such period as my Membership subsists.
- I understand that I can resign my Membership by writing to the Club or the LGFA/GAA and my Personal Data will then be erased.
- I understand that my Personal Data will also be used for administrative purposes to maintain my Membership including registrations, team-sheets, referee reports, disciplinary matters, Injury Reports, transfers, sanctions, permits and for statistical purposes.
- I understand that if I do not provide my Personal Data my Membership cannot be registered with the Club and the LGFA/GAA.
Signature

Clear
Date

DayMonthYear
Date
Print Name

First NameLast Name
I have given my consent, by ticking the boxes and signing below, for my information to be used as follows:
(1) To provide me with updates regarding Club activities such as matches, meetings and club events(2) To provide me with details of Club fundraising activities including Lotto, social occasions, ticket sales etc(3) I am aware that my photograph or video image may be taken whilst attending or participating in games or activities connected with the GAA/LGFA and I consent to it being used by the GAA/LGFA for items like match programmes, year books', match reports, event reports or on websites or social media channels associated with the GAA/LGFA(4) To contact me in relation to volunteering opportunities at GAA/LGFA events and activities
I understand that I can withdraw my consent at any time by writing to the [Club or the GAA].

I understand my rights under Data Protection legislation
Signature

Clear
Date

DayMonthYear
Date
Print Name

First NameLast Name
Code of best practice for Garristown Juvenile GFC

The Role of the Children's Officers
1. To deal with any complaints from parents or children.
2. To keep a detailed record of any complaints.
3. To encourage the involvement of parents/guardians in club activities.
4. To monitor changes in membership, absenteeism or unusual dropouts.
5. To report regularly to club committee.
6. To keep a record of all children attending training for Health/Safety and Insurance reasons.
Youth Member Details
Child 1

First NameLast Name
Date of Birth

DayMonthYear
Date
Child 2

First NameLast Name
Date of Birth

DayMonthYear
Date
Child 3

First NameLast Name
Date of Birth

DayMonthYear
Date
Child 4

First NameLast Name
Date of Birth

DayMonthYear
Date
Child 5

First NameLast Name
Date of Birth

DayMonthYear
Date
Mobile Number
Phone Number

Area CodePhone Number
Email
example@example.com
I am aware that Garristown GFC has appointed Children’s Officers to ensure that the Code of Best Practice is implemented in the club. See http://www.gaa.ie/the-gaa/child-welfare-and-protection for a link to the Code of Best Practice in Youth SportI am aware that all disciplinary measures that may be taken by the club are in the best interests of everyone involved and that their decision will be FINALI commit to assisting the club in any way I can with regard to the promotion and development of the Games and the implementation of the Code of Best PracticeI give permission to bring my child to hospital in case of EmergencyI consent to have my child's picture on our Social Media pages
Name

First NameLast Name
Signature

Clear
Date

DayMonthYear
Date
Childrens Officers;

Nigel Petrie 086-3305049

Bairbre Carthy 086-8135086
Should be Empty:

Membership Application Form 2020

Code of best practice for Garristown Juvenile GFC