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Gorey Celtic Registration Form 2021/2022
Fees for the year are €90 payable via stripe
(Link available on Gorey Celtic FC webpage).
Please Note: On Match Day:: Plain Socks and Black Shorts are required.
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* Indicates required question
Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Eircode
*
Your answer
Phone number
*
Your answer
Email Address (please use same email as payment form)
*
Your answer
Do you have any medical conditions including allergies that our Club should be made aware of
Yes
If yes please give details including any prescribed medication (name, dosage, frequency).
Your answer
In the case of emergency please give Name and Phone Number of someone club could contact
*
Your answer
In the event of an emergency give Gorey Celtic permission to bring to hospital and to administer medical treatment by suitably qualified person or doctor at the hospital or venue as required.
*
Yes
Required
Did you register to play for Gorey Celtic for 21/22 season? If not additional forms maybe required, you will be contacted by your manager if so.
*
Yes
No
Required
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