Online Membership Form – Athgarvan Pitch and Putt Club

Club Membership Rates

Adult: €100
Juvenile: €50
Family - 2 adults & 2 kids (under 16): €160
Associate: €50

Please complete the form below to apply for membership to Athgarvan Pitch & Putt.

Name(Required)

First Last

Address(Required)

Address Line 2 County Eircode

Sex

Male

Female

Date of Birth(Required)

Phone(Required)

Previous Club (if any):

PPI Reg No (if applicable):

or Golf Union of Ireland

Type of Membership:

For family membership, please provide names of other family members:

Adult 2 Name

Adult 2 Date of Birth:

Adult 2 Reg No:

If Applicable

Child 1 - U16

Child 1 Date of Birth:

Child 1 Reg No:

If Applicable

Child 2 - U16

Child 2 Date of Birth:

Child 2 Reg No:

If Applicable

For juvenile membership, please provide the following information:

Your GP Name:(Required)

Allergies etc.:(Required)

Preferred Method of Payment

Cash

Bank Transfer

Online

Please enter your online Payment Receipt Number

I apply for membership of Athgarvan Pitch and Putt Club and Pitch and Putt Ireland and agree to be bound by their rules and regulations. I acknowledge that membership may be reviewed, suspended, or withdrawn. I acknowledge and consent to the processing of my personal data by the Club and Pitch and Putt Ireland for membership, registration, insurance, safeguarding, disciplinary, anti-doping, and administrative purposes, in accordance with GDPR Article 6(1)(a) (consent) and Article 6(1)(f) (legitimate interests), and in line with the requirements of Sport Ireland. I understand that failure to provide the required data may prevent my membership from being registered. I consent to the use of photographs and/or video recordings taken during sporting activities or events for promotional and governance purposes.

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