ITU Club Membership Form 2018
Club membership form 2017
Email address *
Name of Club *
Your answer
Chief Instructors Name *
Your answer
Address for Correspondence *
Your answer
Email Address(club email) *
Your answer
Name and location of venue *
Your answer
Name of Insurance Company *
Your answer
Class training times *
Your answer
Do you reside in Ireland *
Do you keep a register of students? *
Do you have a first aid certificate(current) *
Do Instructors have Garda Vetting? *
Child Protection officers names *
Your answer
Designated Liason Person Contact *
Your answer
I agree to abide by the terms & conditions of ITU membership *
A copy of your responses will be emailed to the address you provided.
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