Brothers Pearse A.C. Juvenile Membership 2020

Brothers Pearse Juvenile Membership Form

2020

New Members ONLY

Please note that your application for membership needs to be confirmed by a member of the Juvenile Committee before submitting this form or transferring funds.

When completing the form please note:-

One form is needed for each Athlete.
Remember to put your name/your child's name on the Bank Transfer.

New or Existing Member*

Existing MemberNew Member
Male / Female*

MaleFemale
Athletes Name*

First NameLast Name
E-mail*
Date of Birth*

DayMonthYear
Address*

Street Address Line 1

Street Address Line 2

Street Address Line 3State / Province

Eir Code
Parent Name*

First NameLast Name
Parent Contact Number*

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Parent Name 2

First NameLast Name
Parent Number 2

Area CodePhone Number
County of Birth*
School Name
If not listed please enter school name below
Add School Name if not on above list
Are there any medical conditions the club should be aware of? *
This includes asthma, allergies, diabetes or difficulty in concentration. Please supply details, including details of medication your child may need at training (eg asthma inhaler, insulin)
Please specify which Payment Method you have used*
We would really appreciate if you could pay subs into our Bank Account. This is safer and makes it so much easier for us to manage. Again, please remember to put your name/your child's name on the Bank Transfer.
Bank Account Details

93-32-95 -01275094
BIC: AIBKIE2D
IBAN: IE14AIBK93329501275094
Membership Fees:-
- 1st Child - €120
- Any subsequent child - additional €90 each
- Family Membership - €275
Confirm Date when Payment to Bank Account was Made.

DayMonthYear

All Athletes must abide by the following:-
- Respect and listen to your coach and abide by the rules during all coaching sessions and at competitions.
- Compete for Bros Pearse Athletic Club at events organised by Dublin Athletic County Board
- Do athletics because you, the athlete, want to do it.
- Commit to attending regular training sessions
- Never bully another athlete. Treat other athletes as you would like to be treated.
- Do not behave in a way that could cause injury to other athletes.
- Refrain from use of bad language and offensive gestures.
- Never cheat at competition or at training.
- Make an effort to improve yourself.
- Contact your coach/club if you are not available for training or competition.
- Never make false allegations about another athlete or adult.
- Never chew chewing gum at training.
- Talk to children’s officer or designated officer if you have any concerns.
- Never keep secrets about someone who has caused you harm.
- Above all enjoy your sport and make it enjoyable for those around you.
I Confirm that I have brought these rules to the attention of The Athlete:*

First NameLast Name

GDPR Consent

General Data Protection Regulation
In accordance with the General Data Protection Regulation, or GDPR, your consent is required for the club to collect and store your data and for the club to contact you via email, phone, post, SMS, or other text applications (eg. Whatsapp)

Please note, that Brothers Pearse AC will only use this data in accordance with our GDPR Privacy Policy which is available to view on the club’s website www.brospearse.com

If at any time you wish to see the data held by the club or if you wish for your data to be deleted, please contact the club at info@brospearse.com
Please indicate your consent of the above General Data Protection Regulation*

I consent to Brothers Pearse General Data Protection Regulation Policy
I give consent for Brothers Pearse AC to collect and store the data I provide the club on the registration form.*

Yes
I give consent for Brothers Pearse AC (and coaches) to contact me regarding club training, events or any matter regarding my child via:- SMS, Phone, Post or e-mail*

Yes
Should be Empty:

Brothers Pearse Juvenile Membership Form

Parents/Guardian Consent Form

All Athletes must abide by the following:-

GDPR Consent