Social Membership Form Name *Email Address *Phone *Street AddressCityState/ProvinceEircodeDate of Birth *Day *Month *Year *Term & Conditions of MembershipAs 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. By ticking this box I/we accept that we have read and understand the items above. *I agreeI 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. *YesI am aware that my photograph or video image may be taken whilst attending or participating in 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. *YesI understand that I can withdraw my consent at any time by writing to the Club.Social Membership €20. Please click the button below to complete your payment.Credit/Debit Card Details *Please enter your long card number, expiry Date and security code then click the button below to complete payment.Join Now Location South Kerry Sports Centre, ‘Over the water’ Cahersiveen Co.Kerry