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Membership
Application for Individual Renewal or New Membership 2023
Under 12's €25.00, Under 18's €35.00,
3rd Level Students €40.00, Over 18's €55.00,
Life Members €10.00
Membership Form 2023
Step
1
of
3
33%
First Name of Member
*
First
Surname of Member
*
Last
Address
*
Street Address
Address Line 2
City
County
ZIP / Postal Code
Date of Birth
*
DD dash MM dash YYYY
Gender
*
Male
Female
Photo
Accepted file types: jpg, Max. file size: 3 MB.
(please supply for inclusion on Licence - head shot only plain background - JPG files only)
Phone
*
Mobile No:
Email
*
New Membership Type:
*
Under 12 (€25)
Under 18 (€35)
Over 18's (€55)
Student 3rd Level (€40)
Please tick which applies: JUNIOR DAN GRADES MUST APPLY FOR SENIOR MEMBERSHIP
Renew Membership Type:
*
Under 12 (€25)
Under 18 (€35)
Over 18's (€55)
Honorary Life Member (€10)
Student 3rd Level (€40)
School Club Primary & Secondary (€25)
Please tick which applies: JUNIOR DAN GRADES MUST APPLY FOR SENIOR MEMBERSHIP
Hidden
Under 18's Membership
Under 18's
Hidden
Under 12's Membership
Under 12's
Membership
*
New Member
Existing Member
Club - Please Select Club from below:
*
Please select your club
Abbey Judo Club
Ashbourne Judo Club
Athenry Judo Club
Atlantic Technological University Judo Club - Galway Campus
Cabra Judo Club
Carraroe Judo Club
Coolmine Judo Club
Cork City Judo Club
Daigokan Judo Club
Dublin University Judo Club
Fudoshin Judo Club
Galway City School of Judo
Galway Judo Club
GS Judo Club
Higashi Judo Club
Inspire NI
Judo Ichi Dai
Kerry School of Judo
Kilkenny Judo Club
Killarney Judo Club
Knocknacarra Judo Club
Kodokan Ireland
Konarakai Judo Club
Limerick City Judo Club
Lion Judo Club
Lusk Judo Club
Macroom Judo Club
North East Judo Academy
OSA Judo Club
Palmerstown Judo Club
Paul Cummins School of Judo
Portaferry School of Judo
Portmarnock Judo Club
Renbukan Judo Club
Renmore Judo Club
Samurai Uladh Judo Club
Shin Gi Tai Judo Club
Simply Judo
St Peter’s Judo Club
UCC Judo Club
UCD Judo Club
University of Galway Judo Club
Waterford Judo Club
Wild Geese Judo Club
Yamakwai Judo Club
Yoroi Dojo
Membership No.
Adaptive Judo
*
Yes
No
If Yes, List Disability
Under 18's Parent/Guardian Section
The section below to be completed by Parent/Guardian if applicant is under 18 years of age.
Parent/Guardian's Name
First
Last
Parent/Guardian's Email
Parent/Guardian's Phone
I wish not to be contacted by email
To be completed by Applicant / Parent / Guardian
To be completed by Applicant / Parent / Guardian
Declaration
*
I agree to the declaration & consent
Declaration: I certify that to the best of my knowledge & belief the foregoing details are correct. I undertake to abide by the constitution & Bye-Laws of the Irish Judo Association together with any amendments that may be made during my period of membership. Please note the policy of ‘No Licence - No Insurance - No Judo’ is in force & cost of personal accident insurance is included in the above categories. I further confirm that I am not a member of any other Judo Federation. I will adhere to the Irish Anti-Doping rules. Consent: Personal information gathered from memberships are used for the sole purpose of promoting the sport of judo. This information may be used to keep clubs/parents/guardians up to date with events, offers and general information regarding regulation and promotion of Judo. Direct Marketing is not undertaken by the Association. Personal Data is handled in accordance with the requirements of the GDPR. Privacy Statement is available at www.irishjudoassociation.ie
Annual Membership Payment
Total
Credit Card
*
Card Details
Cardholder Name
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Our Gallery
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IJA Committees & Staff
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