Gorey Celtic Registration Form 2022/2023

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Registration Fees

It will be €90 for the 1st child, €70 for 2nd and €40 for 3rd.
Max per family is €200, (4th and subsequent children are free)

Academy €50 per child, €35 per child if 2 or more children in academy,

Name of Child *

Date of Birth *

YYYY

Address *

Eircode *

Name(s) of Parent/Guardian *

Phone number(s) *

Email Address *

Does Your Child 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).

In the event of an emergency, I as guardian give Gorey Celtic permission to bring my child to hospital and to administer medical treatment by suitably qualified person or doctor at the hospital or venue as required. *

Yes

Required

If there is a sibling a member of Gorey Celtic please name the child (s). (Please fill in an additional form for each child)

Did your child play for Gorey Celtic in the season 2021/2022. If not child we mat require an additional form and/or proof of age. You will be contacted if required via email or your manager. *

Yes

Required

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