Iarratas Ballraíochta | Membership Application Form 2023-2024

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If you were a member within the last two years (2021-22 and/or 2023-23)and are RENEWING MEMBERSHIP, you do not need to complete this form, just pay the appropriate membership fee by Paypal (link on our website), EFT(bank details below) or cash/cheque (contact details on our website).

Príomhshonraí Teagmhála | Primary Contact Details

In the case of junior members (under 18 on 1st January of the membership period) the Primary Contact must be a parent or legal guardian. | Tá ainm an tuismitheoira/chaomhnóra ag teastáil i gcás daoine atá níos óige ná 18.

Ainm | Name of Primary Contact

Seoladh an Bhaill |Address of Primary Contact - include Eircode if known

Fón | Phone No. of Primary Contact

Riomhphost / email of primary contact

Ainm an Bhaill (Daoine Fásta) | Adult Member's Name(s)

List all adults requesting membership

Ainm an Bhaill (Sóisearach) |Junior Member's Name(s) and DATE(S) OF BIRTH

List all juniors requesting membership. PLEASE ENTER DATE OF BIRTH BESIDE EACH JUNIOR'S NAME. Juniors must be under 18 on 1st January of the membership period - e.g. U18 on 1/1/2023 for the membership period 2023-2024

Táillí | Annual membership fees

The annual membership fees payable are:
Family: €20
Junior: €6 (except if part of family membership)
Senior: €12 (except if part of family membership)
Second Senior: €8 (except if part of family membership)

Annual membership fee payable:

Please confirm method of payment.

If paying by Paypal, please go to www.craobhlochgarman.ie to make payment. For EFT use the following details: IBAN IE44 BOFI 9067 1868 4888 07 BIC: BOFIIE2D. Craobh Loch Garman contact details are displayed on our Facebook and website page.

Paypal

Cash

Cheque

EFT (please tag payment with primary contact name, eg. “Aine Brown membership")

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Tick here if you wish to received updates from Comhaltas by email and/or text

Yes

Photographs, Images and Audio/Audio Visual Recordings of JUNIOR MEMBERS and VULNERABLE MEMBERS- Consent

I hereby give consent that images, photographs, audio/audio visual recordings featuring Junior Members and Vulnerable Persons listed on this form may be used for the purposes of promoting Comhaltas.

I consent to photographs and images

I consent to audio/audio recordings

I consent to the above only if in group images/recordings

I do not consent to photographs and images

I do not consent to audio/audio recordings

Photograph, images and audio/audio visual recordings of ADULT MEMBERS

I hereby give consent that images, photographs, audio/audio visual recordings featuring Adult Members listed on this form may be used for the purposes of promoting Comhaltas.

I consent to photographs and images

I consent to audio/audio visual recordings

I consent to the above only if in group images/recordings

I do not consent to photographs and images

I do not consent to audio/audio visual recordings

If you wish to provide additional information (e.g. additional/alternative contact details), please do so here:

Síniú | Signature

By ticking this box I confirm that I am the main contact mentioned above in this document. For any junior memberships applications, I confirm that I am the parent/legal guardian for that junior member.

I Confirm

Téarmaí agus Coinníolacha | Terms and Conditions

Membership application forms are retained for two years. Access to these forms is restricted to relevant Comhaltas staff and branch officers for Comhaltas use only. Comhaltas Ceoltóirí Éireann does not share personal data with third parties. The data and contact details provided on this form are used for the exclusive purposes of Comhaltas administration and activities.

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