Membership Renewal for 2021 | Bandon Athletic Club

Current Members Only:Please use the form below to register for 2021.
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 on 23rd December, 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 2021.

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.

Juvenile_Family_RegForm_2021

Fit4Life_RegForm2021

Adult_RegForm2021

Annual Membership for 2021 as set at AGM Nov 2020

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

Juvenile/Student -€50 Fit4Life -€35. Adult -€60. Family Membership -€130

(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 *

Membership fee due *

Annual Membership for 2020 as set at AGM Nov 2020. Juvenile -€50 Fit4Life -€40 Adult -€60 Family Membership -€130

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 087 1135500 Communication to all Juvenile athletes will be through the Parent/Guardian only.

Parent/Guardian Alternate 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