MEMBERSHIP 2016

Name:
Ainm:
Date of Birth:
Address:
Parent / Player Mobile Number (Parent Number if U16):
Email Address of Parent / Player (Parent Email if U16):
Name of Parent / Guardian:
Tel No: (Home)	(Mobile)
Authorised Person if Parent / Guardian cannot be contacted:
Tel No of Authorised Person:
Medical Details:
Name of G.P.:	Tel No:

Payment Options
Pay in Full or Instalments	Number of Instalments:

Parents / Guardians Declaration Form

I will abide by the rules and procedures set down by Broadford Camogie Club’s code of practice for Children in Sport

I will encourage my child to play by the rules

I will endeavour to have my child punctual for training and matches

I accept Broadford Camogie Club is not responsible for my child before starting and after finishing times of training and matches

I will encourage my child to respect coaches, officials and other players

I will be responsible for collecting my child after training and matches

I will ensure my child will have proper attire and equipment

SIGNED:	Date:

Players Declaration Form

I will abide by the rules and procedures set down by Broadford Camogie Club’s code of practice for Children in Sport

I will play by the rules of Camogie and abide by the rules set down when travelling to away events

I will treat my coaches and officials with respect

I will treat other players fairly

I will play the game for enjoyment and endeavour to do my best at all times

I will be modest in victory and gracious in defeat

I will pay my membership fee on time

SIGNED:	Date:

------> P.T.O.

MEMBERSHIP 2016

To All Parents / Guardians

Re: Administration of First Aid.

I	give
permission for (Child’s name)	to receive first aid in
the event of an injury while training or participating in a match for Broadford Camogie Club.

We the club, would like to be informed of any illness or allergies your child suffers from

e.g.: Asthma, Epilepsy etc.

Signed:

Parent/Guardian