AFFILIATION FORM

(and competition entry form)

Affiliation fee 2004 / 2005          £ 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.