Family Membership (Family up to 6 members) €220.00 Member 1 Name * Member 1 Gender * Select an option... Male Female Member 1 Date of Birth * Member 1 Phone * Member 1 Email * Member 2 Name Member 2 Gender None Male Female Member 2 Date of Birth Member 2 Phone Member 2 Email Member 3 Name Member 3 Gender None Male Female Member 3 Date of Birth Member 4 Name Member 4 Gender None Male Female Member 4 Date of Birth Member 5 Name Member 5 Gender None Male Female Member 5 Date of Birth Member 6 Name Member 6 Gender None Male Female Member 6 Date of Birth Is any member suffering from any medical condition that the Club should be aware of? (e.g. asthma, diabetes, etc) * Is any member taking an prescribed medication that the Club should be aware of? (e.g. inhalers, insulin, etc) * I give my consent for photos taken in connection with the Club activities to be used in Club publicity (e.g. newspapers and on the Club’s website) * Select an option... Yes No I hereby give my consent for any juveniles above to participate in all Club activities. * Select an option... Yes No Parent / Guardian Name – I agree that any juvenile member will represent the club at least once this calendar year at a championship or inter-club challenge competition. * Failure to represent the club at such an event may result in membership applications being refused in the following year. Family Membership (Family up to 6 members) quantity Add to basket Category: Family Membership (Family of 6)
Clubs Athlone IT AC Bros. Pearse Athletic Club Trim Athletic Club Athenry Athletic Club Craughwell Athletic Club Dunshaughlin Athletic Club Tullamore Harriers Leevale Athletic Club Rathfarnham Athletic Club Raheny Shamrocks Clonliffe Harriers
Clubs Dundrum South Dublin Galway City Harriers Greystones Athletic Club Liffey Valley Athletic Club Crusaders Athletic Club Finn Valley Shercock Athletic Club Sportsworld-Terenure Foyle Valley A.C. West Waterford A.C. Lisburn A.C. Abbey Athletic Club
Clubs Ballincollig A.C. East Down A.C. Ferrybank A.C. Togher A.C. Tirchonaill A.C. Bree Athletic Club St. Abban's A.C. Portlaoise A.C. Tinryland A.C.
Associations Athletics Ireland Athletics Leinster Athletics Northern Ireland Irish Universities Athletics Association Irish Schools Athletics Association Irish Mountain Running Association Business Houses Athletics Association Business Houses Athletic Association (Cork) Olympic Council of Ireland Irish Sports Council
