Gym Payment Form – Dunhill GAA and Sports Centre

Name *

First

Last

Name of partner

First

Last

Couple membership only

Are you over 18 years *

If you answer no, this form must be completed by a parent/guardian. Children under 16 years are not permitted to use the gym facilities.

Name of Child

First

Last

Age of Child

Phone Number *

Email *

Membership type *

Single

Couple

Dunhill GAA Player

*To avail of the GAA players rate you must be a registered player and paid up member of Dunhill GAA Club. Proof may be requested

Coupon

Total

0,00 €

Date of membership commencement *

Note: Membership must start within 72 hours of signup

Signature

Clear Signature

Square *

Card

Name on Card

Additional Information