Limerick Cricket Club - Application Form - 2019
LIMERICK CRICKET CLUB MEMBERSHIP APPLICATION FORM 2019
Type of Membership Application
Date of Birth (DOB)
Next of Kin ( Given Name Surname)
e.g John Doe
Next of Kin (Phone Number)
Shirt Size (inches)
Chest Size: Take measurement up under the arms and around chest. The cost of the Club White Playing Shirt is included in the Subscription Fees.
Sports related medical conditions
Please advise us of any relevant (to participating in a sporting activity) medical conditions
Headache or Diziness
None that I know of
Type of Membership
Full Membership € 170
Un-waged Membership/ Full Time Student €100
Pavilion Non playing Membership €25
Method of Payment
Bank Details for either EFT or Standing OrderLimerick Cricket Club, Account No. 1 NSC 935476; IBAN IE74AIBK93547613935012, BIC: AIBKIE2D, Acct No: 1393 5012
Cheque (Payable to: Limerick Cricket Club)
Standing Order (Existing Members only, 2018 and prior) Reference your name in the S/O for the recipient
EFT/Direct Lodgement to LCC account
Important Information ( Please read carefully)
Application for New Members will only be considered with payment of the full 2019 Membership fee, in subsequent years they may opt for Standing Order as a method of payment.
By checking this box, i give consent to Limerick Cricket Club to store my personal information under the GDPR act.
LCC Policies & Procedures
By checking this box, I agree to abide by the policies and procedures set forth by LCC. I understand the right of LCC to revoke the opportunity to participate in any club sport if I violate any of the club policies or rules.
By checking this box, I understand that only existing members (2018 and prior) may contribute using a monthly standing order.
By checking this box, I understand that only fully paid up registered members will be permitted to train with LCC and/or considered for selection in matches.
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