Youth Membership Registration Form

 

Please fill out the following Youth Registration Membership Form for the 2021/2022 hockey season. For administrative purposes, you can only register ONE member at a time.

Due to the high demand, youth registration is now only available for the following –

Primary School

  • Boys – All classes
  • Girls – Junior & Senior Infants

Secondary School

  • All years

For all other primary school classes, there is a waiting list. Please email secretary@clontarfhc.com should you wish to add a child to the waiting list or if you have any problems.

Thank you for registering with Clontarf Hockey Club. We are all looking forward to a successful and enjoyable season ahead.

Clontarf Hockey Club Junior Payment Registration Form

Membership Details

Club Section *
Were you a member of Clontarf Hockey Club in 2020/21 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

Education *
Child's Gender *
Child's Class *
Child's Class *
Child's Year *
Child's Year *
Mobile or Landline
Mobile or Landline

SECTION B. OTHER

Would you be interested in your child attending a Midterm/Summer Camp?
Would you be interested in taking an umpiring course?
Would you be interetsed in taking a coaching course?
Please confirm the following
Declaration *
Total Membership Fee

Payment - Debit/Credit Card *