Cathal Brugha Swimming and Water Polo Club

Website:

Updated: July 2017Email:

Dear Parent/Guardian

Re: Membership & renewal of Junior/intermediate membership - 2017/18 Season

We are pleased to advise that we have kept Clubfees at the same levelsince 2013

Category / Annual fee / Weekly Payment / Monthly cheque / Standing Order
Junior
Aged 14 and under
On 1st Jan 2017 / £45.00
(includes
Swim Ireland Fees) / £3.50 per training session / Monthly
money/
cheque
£12.00 / Standing Order £10 per month for 12 months
(£20 per month for 2 x weekly sessions)
Intermediate
Aged 15-18
On 1st Jan 2017
(min. 2 sessions per WK) / £45.00
(includes
Swim Ireland Fees) / £3.50 per session
(2 x sessions per week) / Monthly cheque
£24.00 / Standing Order £20 per month for 12 months
(access to a minimum of 2 x sessions per week)

Annual fee is £45 per member (to cover Swim Ireland registration etc.), if there are 3 or more junior family members then the annual fee is a maximum of £100 for all.

Annual are fees to be paid before 30th September 2017and a maximum of 4 weeks after registration by a new Member(Cheques payable to Cathal Brugha SC). Registration will be available at Falls Leisure Centre each Wednesday evening (7pm-8pm)in September.Part Year Fees are available for late joiners - £35 joining in March & £25 for April joiners

Parents wishing to pay their weekly fees by Standing Order for the first timeor to alter the amount or change the payment dateshould complete the enclosed formand return it to the club Secretary. Standing order fees are £10 and £20 per month respectively, for a single or double weekly training session.

Parents/Guardians of ALL Junior/Intermediate members must complete andsign the enclosed Registration form. Registration forms need to be filled out every year in order to maintain our compliance with Swim Ireland regulations.

Cathal Brugha is an inclusive club, welcoming members of all physical abilities regardless of social background or ethnicity.As an inclusive club we offer financial support for those who meet our criteria, through our Hardship Fund. Applications for assistance from the Hardship Fund can be made in writing to the Club Secretary by those seeking membership for the first time and existing members.

Wally Clarke

Club Secretary

25 Beechill Park West

Belfast

BT8 6NU

Cathal Brugha Swimming and Water Polo Club

REGISTRATION FORM 2017-18

Junior / Intermediate Members

Please answer all questions – thank you

Name
Known as
Date of Birth
Swim Ireland Number
(if known)
Address (please include postcode) / Postcode:
Parent Contact DetailsContact details to be used for notification of matches, training etc. / Name:
Address (if different from above):
Mobile Tel:
Home Tel:
E-mail Address:
Disability / Medical Conditions (if any)
Shirt Size / Insert Shirt Size (chest size in inches):

Individual Permission Form for taking or use of images

Cathal Brugha Swimming & Water Polo Club requests your permission to photograph the above Member and/or record video footage for the promotion of water polo.

Photographs/videos will be taken by an appropriate person appointed to do so by Cathal Brugha Swimming & Water Polo Club. Any images will be used, held and stored in accordance with the Swim Ireland Filming and Photography Policy as specified in latest version of the Swim Ireland Safeguarding Children Policies and Procedures. No child/young person will be identified individually in any published image or film footage.

Consent

I confirm that I give permission to be filmed and/or photographed for the event described above. Any photographs and/or part of the video may be used in accordance with the Swim Ireland Filming and Photography Policy.

In addition I/we have completed the enclosed Standing Order form: Yes/ No

I wish to become/renew a member/membership of Cathal Brugha Swimming & Water Polo Club and confirm my allegiance to all codes of conduct, rules & regulations applying (Codes of Conduct and Ireland Water Polo Rules are available for download from our website

Parent Signature...... Date......

Junior Player Signature ………………………… Date ……………………………….

Cathal Brugha Swimming and Water Polo Club

STANDING ORDER REQUEST

To the Manager:

Bank
Address

I would like you to set up a monthly standing order from my account:

Name
Address
Account Number:
Bank sort code:
Signature

And credit the following account with £ ______monthly with effect from ______

Credit to:

Account Name / Cathal Brugha ASC
Bank / Ulster Bank Ltd
Address / Andersonstown Leisure Centre
130 Andersonstown Rd
Belfast
BT11 9BY
Account Number: / 12441081
Bank sort code: / 98-00-15

Yours faithfully

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Please return forms to Club Membership Secretary (Wally Clarke) who will forward them on to our Bank.