Membership Renewal for 2023 | Bandon Athletic Club

Current Members Only:Please use the form below to register for 2023.
We have membership opened for existing members only at this time. Once all existing members have had time to re-register we will open up registration for non members who have been offered a place.

**Unless you are already a member, completing this form does not guarantee membership of Bandon AC for 2023.

The perfered method is by completing the online form and pay with online banking. But you can print and return the forms at training if you wish.

Annual Membership for 2023 as set at AGM Nov 2022

(Includes €5 contribution towards Club Development Fund as agreed at AGM 2014)

Juvenile/Student -€60 Adult -€70. Family Membership -€165

(Includes mandatory registration with Athletics Ireland which costs €15 per Juvenile and €20 per Adult)

Please use the details provided once the form has been submitted for online payment of membership fees.

Name of 1st Member *

Date of Birth 1st Member *

Name of 2nd Member

Date of Birth 2nd Member

Name of 3rd Member

Date of Birth 3rd Member

Name of 4th Member

If you need to register more than 4 members please use 2 forms.

Date of Birth 4th Member

Number of members *

Family Membership covers upto 4 members from the same family. Maximum of 2 adults per family membership.

Membership Info *

I have read and understood membership info.

Annual Membership for 2023 as set at AGM Nov 2022. Juvenile -€60 Adult -€70 Family Membership -€165. As part of this membership fee, the club registers each athlete with Athletics Ireland, this includes an element of person injury insurance in the event of an accident during official training or during an Athletics Ireland event. The cost to Bandon AC is as following: juvenile(u18) is €15 and anyone over the age of 18 is €20.

Additonal Voluntary Contribution. The club is actively trying to raise funds to develope its own all weather training facility in Bandon, if people are in a position to make an additonal voluntary contribution to help this, then it would be much appreciated

I will add an additonal €10 to membership fee
I will add an additonal €20 to membership fee
I will add an additonal €50 to membership fee
I will add another amount to membership fee

If people would prefer to support our GoFundMe page, please see - https://www.gofundme.com/f/bandon-ac-track-development-fundraiser

Total amount being paid *

This includes the membership fee plus any additional voluntary contribution towards track development you may wish to contribute.

Parent/Guardian Contact Name & Number *

All Club information/communication is conducted through texts, any number(s) provided will be used for text messages . If you do not get texts please text 086 2725230 Communication to all Juvenile athletes will be through the Parent/Guardian only.

Parent/Guardian Second Contact Name & Number

Postal Address *

E-mail of Parent/Guardian *

Please ensure just 1 email is provided here and that it is correct format and valid email.

Family Doctor

List any illnesses/conditions the coaches should know about:

In the event of illness I give permission for medical treatment to be administered by a nominated first aider / suitably qualified medical practitioner / emergency hospital treatment. *

I confirm that all the above details are correct, I hereby consent as parent/guardian to the above child(ren) participating in activities of the Bandon Athletic Club in line with the Code of Ethics for Young People. I will inform club of any changes to the information above.I understand that photographs & occasionally video may be used during training, or at athletic club related events and may be used in the promotion of athletics *

I agree.

Parent/Guardian *

Name