QUEEN'S GAA
MEMBER REGISTRATION 2019-20
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Student Number *
Phone Number *
Home Address *
Postcode *
QUB E-mail *
Degree Pathway *
Course Name *
Select Team *
Club *
School (New members only) *
Preferred Playing Position (select jersey numbers)
Representative Honours *
Required
Other GAA Commitments
Can you speak Irish? *
Can you contribute to the club in other ways?
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