Name *

Name

First Name

Last Name

Team *

Ladies

Mens

Registration Type *

Chieftains Regular ($150)

Chieftains New Member ($100)

Dual Australian Football Member ($250)

Email Address *

Date of Birth *

Date of Birth

MM

DD

YYYY

Phone *

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Select *

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