Name *

Name

First Name

Last Name

Date of Birth *

Date of Birth

YYYY

Team *

Ladies

Mens

Kids

Registration Type *

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)

First Name

Last Name

Date of Birth

YYYY

Additional Family Club Member 2 (kids only)

First Name

Last Name

Date of Birth

YYYY

Additional Family Club Member 3 (kids only)

First Name

Last Name

Date of Birth

YYYY

Email Address *

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