KILLEENTIERNA YOUTH CLUB
Membership Form 2025 / 2026
Killeentierna Youth Club will re-open on Friday November 17th 2025 in Currow Hall from 8:30 to 10:00 PM.
The club belongs to the parents and the young people of the parish and we as leaders only facilitate the running of it. It is therefore important that all parties have an input into the running of the club; so each year a junior committee of members is formed – to plan events - and also a Parents committee – with whom we can discuss the running of the Club and any problems which may arise during the year.
Killeentierna Youth Club leaders will not be responsible for any member except in the club hall from 8:30 pm to 10:00 pm on club nights and also on Club outings. The club’s insurance will only apply on these occasions. We would urge you to ensure that your teenagers have transport to & from the club
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A full list of Youth Club Rules and Policies can be viewed on our Web Page. (www.killeentiernayc.com/rules.html)
Membership Fee | |||||
1 In Family | 2 in Family | 3 or More in Family | |||
€10 | €12 | €14 | |||
MEMBER DETAILS | |||||
Name | Date of Birth | Mobile Number / Email Address | |||
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Address:
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Parent/Guardian Contact Number
| Parent / Guardian Email Address:
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Mobile numbers & email addresses will only be used to contact members / parents in relation to club events or in emergencies.
They will not be shared with other organisations.
PARENTS COMMITTEE | ||||
The parents committee is essential to the running of the club and meets no more than 3 times per year. It is not a requirement that members of the committee attend club nights or outings. Without the committee, the club cannot acquire insurance for the year so it is essential that parents get involved to aid the continued running of the club. | ||||
I would be interested in participating in the Parents Committee | YES |
| NO |
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I give permission for my Son’(s)/Daughter’(s) listed above to join the club and understand that he/she will adhere to all club rules and failure to do so my result in suspension or expulsion from the club. I also understand that I am consenting to him/her attending youth club events and give permission for him/her to be photographed / videoed for the display on the youth club website, digital media sites and traditional print media. Please list any medical conditions that your Son or Daughter have that we should be aware of.
I the undersigned (Parent / Guardian) understand agree with & will comply with the items outlined above.
Signed: ___________________________________ Date: ________________
STAY UP TO DATE WITH ALL OUR EVENTS & NEWS:
WWW.KILLEENTIERNAYC.COM Killeentierna.Youth.Club KilleentiernaYC Killeentierna Youth Club
