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AFFILIATION FORM

(and competition entry form)

Affiliation fee 2006 / 2007          £ 25

  SCHOOL NAME    

 ________________________________________

  SCHOOL ADDRESS      

_________________________________________

_________________________________________

POST CODE   __________________

TELEPHONE  NO., __________________  

FAX NO.,              __________________

  SCHOOL E MAIL ADDRESS

_________________________________________

TEACHER IN CHARGE:            

HURLING                 ______________________________________

CAMOGIE                   ____________________________________________

BOYS’ FOOTBALL    ____________________________________________

 GIRLS’ FOOTBALL  ____________________________________________

HANDBALL                ____________________________________________

Please indicate with an asterisk which teacher is to receive general correspondence.

GAMES DAY           ______________________ 

SCHOOL COLOURS  ___________________

HOME PITCH ____________________

If any of the teachers in charge of games has an e mail address please list the addresses.

Emergency telephone number for contact outside of school or at weekends.

This is for committee use only 

COMPETITION ENTRY FORM

(these competitions may not be offered in all regions)

EASTER 2005 MARCH 27^th

 Mark with a tick to enter.

The affiliation form must be completed and returned to your regional treasurer.

BELFAST REGION

Martin Short, 78 Owenvarragh Park, Belfast BT11

NO LATER THAN JUNE 21^st

The form may be handed in at the AGM

Cheques should be made payable to

Cumann na mBunscol Aontroim

The form should be signed by the teacher correspondent and the principal.

Failure to return the form can result in schools being omitted from competitions.

Please ensure you included your school fax number. 

St Anne's PS

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