Membership Registration Form 2026/2027 Season

    Membership Notes

    Membership for 6th class girls is now full. If you have  any questions, please email – junior@clontarfhc.com

    Membership Payment Registration 2026/2027
    Membership Type for 2026/2027 Season
    Membership Type

    Registration with Hockey Ireland

    All players must register with Hockey Ireland

    Click here for Hockey Ireland Registration Form
    Click here for Hockey Ireland Registration Number
    Registration with Hockey Ireland

    Senior Membership

    Club Section
    Were you a member of Clontarf Hockey Club in 2025/26 season
    Membership Type
    Membership Type
    Additional Child - €100 Per Child

    Additional Child - €100 per child: 100,00 €

    Do You Require Insurance. Please note insurance is only valid 7 days after registration
    Members need to notify the insurance company within 60 days of the event occurring in order to make a claim (not 60 days to make a claim, just to notify them)
    How Would You Like To Pay?

    Direct Debit Option Only Available For Senior Membership and Family Membership
    Standing Order Details Are As Follows:
    Account name: Clontarf Hockey Club
    Bank: AIB, 140 Lr Drumcondra Road, Dublin 9
    Account Number: 09682003
    Sort Code: 93-22-05
    BIC: AIBKIE2D
    IBAN: IE25AIBK93220509682003

    Please make a note of the above bank details prior to submitting the registration form.

    Please include your name as the reference when filling out the standing order form for identification purposes.

    Total Membership Fee (Including Insurance if selected)

    SECTION A. SENIOR PLAYER & PAVILION DETAILS

    Name
    Name
    First Name
    Last Name
    Mobile or Landline
    Mobile or Landline

    Youth Membership

    Club Section
    Were you a member of Clontarf Hockey Club in 2025/26 season
    Have you already registered a Youth Member? Please only click 'Yes' if this is the second child you are paying for. There is a second child discount however, this does not apply for the first child.
    Membership Type
    If you have already registered a Youth Member you qualify for our additional Youth Member discount. Please select below the Youth Membership Type
    Total Membership Fee

    SECTION A.1 YOUTH PLAYER INFORMATION

    Child's Name
    Child's Name
    First Name
    Last Name

    Membership for 6th class girls is now full. If you have  any questions, please email – junior@clontarfhc.com

    Club Section
    Education
    Child's Class
    Child's Year
    Mobile or Landline
    Mobile or Landline

    SECTION A.2 YOUTH PLAYER 2 INFORMATION

    Child's Name
    Child's Name
    First
    Last
    Club Section
    Education 2nd Child
    Child's Class
    Child's Year

    SECTION A.2 YOUTH PLAYER 3 INFORMATION

    Child's Name
    Child's Name
    First
    Last
    Club Section
    Education 3rd Child
    Child's Class
    Child's Year

    SECTION A.2 YOUTH PLAYER 4 INFORMATION

    Child's Name
    Child's Name
    First
    Last
    Club Section
    Education 4th Child
    Child's Class
    Child's Year

    SECTION A.2 YOUTH PLAYER 5 INFORMATION

    Child's Name
    Child's Name
    First
    Last
    Club Section
    Education 5th Child
    Child's Class
    Child's Year

    SECTION B. OTHER DETAILS

    Would you be interested in your child attending a Midterm/Summer Camp?

    All senior members are expected to volunteer as a coach or umpire throughout the season. This will be randomly assigned however we will do our best to give preference to those willing to coach or umpire more regularly.

    Are you willing to Coach/Umpire outside of your rostered sessions?
    Would you be interested in taking an umpiring course?
    Would you be interested in taking a coaching course?

    Declaration & Payments

    Please confirm the following
    Declaration

    Members Data Privacy Policy

    Total Membership Fee (Including Insurance if selected)

    Payment - Debit Card Only
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