Name *

Name

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Date of Birth *

Date of Birth

YYYY

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Adult Chieftains Regular ($150)

Adult Chieftains New Member ($100)

Adult Dual Australian Football Member ($250)

Kids Chieftains Og - One family member ($50)

Kid Chieftains Og - Two or more family members ($75)

Additional Family Club Member 1 (kids only)

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Last Name

Date of Birth

YYYY

Additional Family Club Member 2 (kids only)

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YYYY

Additional Family Club Member 3 (kids only)

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Last Name

Date of Birth

YYYY

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By signing this registration form I am; 1. Confirming that I am aware that injuries may occur while participating with Calgary Chieftains GAA Club. 2. Waiving Calgary Chieftains GAA Club of any legal or medical obligations which may occur should an injury occur as a result of participating with Calgary Chieftains GAA Club.

Payment option *

To complete registration, please now transfer the correct fee to calgarychieftains@gmail.com

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Registration 2018

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