Register Today for Memphis Youth GAA Child's Name * First Name Last Name Child's Birthdate * MM DD YYYY School * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Country of Birth * USA Ireland Other Contact Information Emergency Contact * First Name Last Name Relation to Child * Contact Email Address * Contact Phone * (###) ### #### Insurance Information Insurance Provider * Insurance Policy Holder's Name * List any medical conditions or allergies: * Insurance Policy Holder's Birthdate * MM DD YYYY Please check all the following: * I understand that my child must have active medical insurance to participate. I understand that Memphis GAA is not responsible for any injuries. I understand all players must be signed in/out at every event. I understand all players must be in good academic standing to participate. I understand photos and/or videos of all players may be used in social media and promotional materials. Any other information to disclose: An in-person one-time waiver is required for participation. Behavioral Standards * Can be found at the bottom of this page. I've read and understand the behavioral standards. Thanks for signing up! See you on the pitch. *Review our Behavioral Standards.
