Junior Membership is open to young people whose age shall not be less than 10 years or more than 18 years.

The safety and welfare of Junior members, when in our care, is paramount, and it is therefore important that we are aware of any illness, medical condition and other relevant health details so that their best interests are addressed.

Please complete this form with our assurance that the information will be treated as CONFIDENTIAL.

Before submitting this form, we ask that you become familiar with the Regulations for Junior Members.

IMPORTANT:- This form must be submitted by a parent / guardian of the junior applicant.

    Emergency Contact Details:

    Emergency Contact 1

    Emergency Contact 2

    Medical Information:

    Please include all medical details that might be relevant in dealing with your child in a safe manner, such as allergies, medication, special needs etc.


    The Clubs “Junior Convenor” and “Child Protection Officer” can be contacted through the Club Office at 053 94 29125

    Parent / Guardian Consent:

    To submit your application, you must agree to all of the statements below

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