Full Membership Application Form

Your Name *

Your Phone *

Your Address*

Your Eircode *

Your Date Of Birth *

Your Email Address *

Please Select Your Membership Category *

Emergency Contact Details:

Emergency Contact Name *

Emergency Contact Phone Number *

Current / Previous Golf Club Details:

Are you or have you ever been a member of any golf club?
Yes

If yes, what is / was your last golf club?

Would you like Coollattin to be registered as your home club?
Yes

Proposer Details:

Each application will need to be proposed and seconded by club members.

Name of the member proposing your application

Name of the member seconding your application

If you do not have a proposer and seconder, please use this box to introduce yourself to the committee

Anything else you feel is pertinent to your application?

Acceptance Conditions:

To join Coollattin Golf Club, you must agree to all of the statements below

I wish to apply for membership of Coollattin Golf Club.
I agree to abide by Irish Anti-Doping Rules.
I acknowledge that all applications are subject to approval by the club Management Committee and are renewed on an annual basis.
I agree to allow all data provided on this application to be used strictly in accordance with the General Data Protection Regulations.

By using this form you agree with the storage and handling of your data by this website.

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