Limerick Cricket Club - Application Form - 2020
This form is for 18+ only, for youth registration please use the link on our website http://www.limerickcricket.com/youth.php

For club merchandise please visit http://www.limerickcricket.com/club-shop.php

For club policy and procedures please visit http://www.limerickcricket.com/policies-and-procedures.php
Email address *
Type of Membership Application *
Given Name *
Your answer
Surname *
Your answer
Phone Number *
Your answer
Date of Birth (DOB) *
MM
/
DD
/
YYYY
Postal Address *
Your answer
Next of kin ( Full name) *
e.g John Doe
Your answer
Next of kin (Phone Number) *
In Case of Emergency
Your answer
Sports related medical conditions *
Please advise us of any relevant (to participating in a sporting activity) medical conditions
Required
Type of Membership *
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
Important Information ( Please read carefully)
Application for New Members will only be considered with payment of the full Membership fee for current season, in subsequent years they may opt for Standing Order as a method of payment.
GDPR Consent? *
Required
LCC Policies & Procedures *
Required
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