Inline Hockey Ireland

2012/2013 Season Registration

If you were a member of Inline Hockey Ireland in years previous, please Login before completing the registration form. If you don't have login credentials, contact general.secretary@inlinehockeyireland.org

To register for the 2012/2013 season follow these steps:

  1. Fill out the form on this page and press 'Continue Registration'.
  2. Print out and sign the resulting member registration form.
  3. Post the form, along with your membership fee to Inline Hockey Ireland, or give it to your Club Rep.

You can also pay your membership fee online by selecting the 'credit card' option in the payment method section.

Personal Details
Contact Details
(incl country code, 353 for Ireland)
(incl country code, 353 for Ireland)
Guardian Information

Members under 18 years of age are required to provide guardian information.

(incl country code, 353 for Ireland)
Emergency Contact Details

Please provide details for an emergency contact.

(incl country code, 353 for Ireland)
Known Medical Conditions

Please advise us of any medical conditions you have in the box below, for example Diabetes, Asthma, Heart Conditions etc...

Registration Details

Member registration fees for the 2012/2013 season are €25 for adults (18 years and older), and €10 for children (under 18 years). Please choose your payment method below.

If you are a member of an IHI affiliated club, please select the club below. If your club is not in the list below, please contact us.

Website Account

Please choose a password for your IHI website account.

Declaration

By clicking 'Continue' below,

you acknowledge that you are aware of the physically demanding nature of the sport of Inline Hockey. You agree to release and discharge Inline Hockey Ireland (IHI), its representatives, members, and officials, from all liability arising from their actions or omissions, which may result in any damage, loss or injury being sustained by the aforementioned player, during any competition sanctioned or organised by IHI.

You declare that the particulars given on this form are correct and that this information may be stored electronically. You hereby consent to be registered as a Member of Inline Hockey Ireland. You agree and undertake to abide by, adhere to and observe the rules and regulations of the Association as prescribed in its constitution, bye laws, disciplinary code and code of conduct.