“CLUB LAOIS” APPLICATION FORM
Personal Details
Name
Address
	Senior Member		Date of birth
	Junior Member		Date of birth
Please delete as appropriate if Junior Members Under 12 wish to go into Draw to act as a Mascot – yes no
Email
Telephone
Mobile

Data Protection Notice Information obtained by Laois GAA becomes part of the data held by Laois GAA for the purpose of administering “Club Laois” in accordance with the Data Protection Acts 1988-2003. In order to continue to improve “Club Laois”, Laois GAA may contact you by email or phone for research purposes or about other future “Club Laois” events. Please tick box if you do NOT wish to receive further details of “Club Laois”