Family Membership Form

Parent/Guardian Name(Required)

First Last

Email(Required)

Phone(Required)

Address

Street Address Town County Eircode

Player Name 1

First Last

Player Date of Birth 1

Player Name 2

First Last

Player Date of Birth 2

Player Name 3

First Last

Player Date of Birth 3

Player Name 4

First Last

Player Date of Birth 4

As a member I/We agree to the following:

To inform the club (team coach/manager) of any relevant medical condition.
To inform the club (team coach/manager) of any injury sustained while playing Rugby within 2 weeks of its occurrence.
Accept responsibility for personal possessions.

Insurance cover:

The IRFU / Munster Branch provides a minimum level of insurance cover to all Youths, provided he/she is registered with the Munster Branch. The Union recommends that individuals should arrange additional voluntary top-up cover to supplement this. It is the individual Parents/Guardians’ responsibility to ensure that their child has adequate insurance cover.

Agreement to Terms & Conditions(Required)

I Agree

Existing Medical Condition(Required)

Yes

Medical Condition Details

Emergency Contact Name

Emergency Contact Number

I understand that it is necessary for Iveragh Eagles RFC (“the Club”) to collect and record the personal data on this form (“Personal Data”) for the contractual purpose of registering and maintaining my membership with the Club. I understand that the Personal Data may be shared with Provincial Branches and the IRFU from time to time and that the Club, the Branch, and the IRFU are all Data Controllers.

I understand that the Personal Data will be retained by Iveragh Eagles RFC for the duration of the membership and in line with the Club Retention Policy. I further understand that I have a number of rights around the processing of Personal Data, including the right to request in writing a copy of my Personal Data which the Club holds, amend any information which is incorrect, and apply to have my Personal Data erased. I can also confirm that I have been given the opportunity to consult further relevant information concerning my data protection rights at www.dataprotection.ie.

I am aware of all my Data Protection rights and have given my consent, by ticking the boxes and signing below, for my information to be used as follows:

I consent for the Club to contact me with updates regarding the Club and including but not limited to activities such as match details, fundraising, ticket sales, meetings, and events.
I am aware that my photograph or video image may be taken whilst attending or participating in games or activities connected with the Club and I consent to it being used by the Club for match programmes, yearbooks, match reports, event reports, or on the Club website or social media channels.

Consent Withdrawal

I understand that I can withdraw my consent at any time by writing to the Club.

I consent for the Club to contact me with updates regarding the Club and including but not limited to activities such as match details, fundraising, ticket sales, meetings and events.(Required)

I consent

I am aware that my photograph or video image may be taken whilst attending or participating in games or activities connected with the Club and I consent to it being used by the Club for match programmes, year books, match reports, event reports or on the Club website or social media channels.(Required)

I consent

Family Membership

Price:

Family Membership (applies to all players up to U18) is capped at €50. Please enter your details below to complete your payment.

Credit Card

Family Membership Form

Iveragh Eagles RFC. Small yeT mighty

Family Membership Form

Consent Withdrawal