Membership Form

Those wishing to join the club or renew their Membership please use this form:

Membership 2024/2025

Membership Type*
Donation

Please input the number you would like to donate to the club. The unit is EURO.
Are you (or parent/guardian) available to volunteer in any capacity in the club?
Member Name 1*
First Last
Date of Birth 1 (if under 18)
Parent / Guardian Name
First Last
Non playing parents:
- Yes
- No.
Non playing parents/guardians are enrolled as parent/guardian members of the club (at no cost). Please confirm you are happy to be a Parent/guardian member of the club
Email*
Phone*
Address
Street Address Address Line 2 County
Member Name 2
First Last
Date of Birth 2 (if under 18)
Member Name 3
First Last
Date of Birth 3 (if under 18)
Member Name 4
First Last
Date of Birth 4 (if under 18)
Member Name 5
First Last
Date of Birth 5 (if under 18)
Do you agree to allow pictures of you and any family members to be taken in the club or at events attended by club members?*
- Yes
- No.
Occasionally we wish to take pictures of our junior player for the club website and to raise awareness of the club and seek sponsorships. We do this in a fully appropriate way and never for any commercial purpose. We simply want to be able to show pictures of our members on our website and when publicising our club and chess activities.
Code of Conduct - Adult players, Juniors and Parents*
- Adults and senior players - I agree to abide by the club code of conduct for Adults Players
- Junior - I agree to abide by the club code of conduct for Junior Players
- Parent/Guardian - I agree to abide by the club code of conduct of Parents/Guardians
All members must accept the code of conduct. Please tick all that apply.
Total
60,00€
Payment Method:*
Card payment is preferred, if however you cannot pay by card, please select cash above and pay the club treasurer at your earliest convenience.
Credit Card

MasterCard
Visa
Maestro
Card Number Expiration Date Security Code Cardholder Name

Note Credit Card payments are processed by the stripe payment system using their secure servers, Blanchardstown Chess Club do not have access to your credit card details.