St Bridgets Pitch & Putt

Family Membership 2025

Your Online Payment Order Number(Required)

IMPORTANT: Before completing this application form please CLICK ON THE MEMBERSHIP BUTTON ON HOMEPAGE and pay the appropriate membership fee online. Once done please make a note of your order number/details and add that number to this field. This will help us reconcile application forms against payments. Many thanks.

Adult 1 Full Name(Required)

Gender(Required)

Please select from dropdown menu

Current PPI registration number if known

Adult 2 Full Name(Required)

Gender(Required)

Please select from dropdown menu

Current PPI registration number if known

Child 1 Full name(Required)

Gender(Required)

Please select from dropdown menu

Current PPI registration number if known

Child 2 Full name(Required)

Gender(Required)

Please select from dropdown menu

Current PPI registration number if known

GP Name(Required)

GP Contact Number(Required)

Details of any known medical condition or allergies

Please input any medical conditions or allergies your child may have. This information is strictly confidential.

Address including Eircode(Required)

Mobile Phone Number(Required)

Email Address(Required)

Pleae enter a valid email address

Membership Category(Required)

Please select your membership type from the drop down menu.

Do you wish to be added to St. Bridget's P&P whatsapp and mailing lists(Required)

Yes please add me

No thank you not this time

Please note: Correspondance is only club related and your details are shared with NO OTHER organisation outside of St. Bridget's Pitch & Putt Club.

Please type name and date to verify submission. Application is subject to acceptance and can be refused by St. Bridget's Pitch & Putt.(Required)

By submitting your application and once verified and payment is received you agree to abide by the rules and regulations of St. Bridget's Pitch & Putt Club and the consitution of Pitch & Putt Ireland. PLEASE NOTE YOUR APPLICATION IS SUBJECT TO VERIFICATION BY COMMITTEE AND MAY BE REFUSED. ANY REFUSED APPLICATION WILL HAVE FEE REFUNDED. PLEASE ALLOW UP TO 14 DAYS FOR A REFUNDED FEE TO SETTLE.

Comments

This field is for validation purposes and should be left unchanged.

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