Bagenalstown Community Games - Its Plain Sailing Online Payments page member

Individual membership

For single participant membership

7.50 (plus handling fee)

Please fill out all the fields below and then click the relevant button at the bottom to add this application to your shopping cart.

This field is mandatory

Please enter the first name of the person for whom this application applies [Note: This field is mandatory]First Name

This field is mandatory

Please enter the last name of the person for whom this application applies [Note: This field is mandatory]Last Name

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Please indicate male or female for this person [Note: This field is mandatory]Gender

This field is mandatory and must be a valid date

Please enter the date of birth for the person being entered [Note: This field is mandatory]Date Of Birth

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Please provide a contact name for all communications in relation to this application. If the Contact Name and the name of the Applicant (i.e. First Name, Last Name above) are the same then just reenter the Applicants name here. [Note: This field is mandatory]Contact Name

This field is mandatory and must be a valid email address

Please provide a valid contact email address for all communication in relation to this application [Note: This field is mandatory]Contact Email

This field is mandatory and must be a valid phone number

Please enter mobile phone contact number [Note: This field is mandatory]Contact Mobile Phone

This field is mandatory and the maximum size on this field is 255 characters, please keep the value within this limit. If you must add more information to this entry please add it to the Additional Info field below.

Please enter a contact address [Note: This field is mandatory]Contact Address

This field

Please ensure to provide Eircode as participants must live within the parish of Bagenalstown to compete.Eircode

This field

Please select the events from the list below that you are most interested in. Please note that due to volume of children and lack of coaches for some events, your child may not get to compete.Events

This field

If your child has and medical issues or allergies please inform us.Medical Information

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I hereby give my son/daughter permission to take part in activities of their local Community games area. The coaches, managers, assistant coaches, helpers and volunteers have permission to act in part of the event of an accident during training or event that my child may be attended by his/her team manager/coach/volunteer. In the event of an accident during training of play where medical care becomes necessary I authorise my local Community games to sign on my behalf any written forms of consent-provided that the delay necessitated to contain my signature could endanger my child's health and safety.Full parental medical notice

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It is necessary for your local Community Games Area to collect and record certain personal data relating to each participant including - the name, address and date of birth. We also require the telephone number and email address of the parents/guardian (if under 16). The data pertaining to each participant will be used for management and administration purposes only and will be input onto National Community Games secure online registration system. Community games has a photography and filming policy in place www.communitygames.ie/policies. I consent to the use of personal details as set out above for such purposes as community games considers reasonable and appropriate and in line with community games updated privacy statement www.communitygames.ie/privacystatmentGDPR & Data Protection & Consent Notice

This field

I consent to my child being photographed and images being shared via our social media page, newspapers and local outlets.Photography

This field the maximum size on this field is 255 characters, please keep the value within this limit. If you must add more information to this entry please add it to the Additional Info field below.

Optionally you can provide extra information that you wish to submit with this application Additional Info

I Agree To Terms And Conditions Below

You must click the checkbox to agree to the Terms And Conditions.

Code of Conduct and consent * I agree to abide by community games rules, policies and procedures * I consent to my child participating in community games events

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