Brookeborough

FOIRM COMHALTAIS 2016

Ainm an Chumainn (Name of Club) Acadh lon (Brookeboro GAC)

Colours of Club & Alternative Colours Red and Black. Black and Red

An Paróiste (Parish) Brookeboro, Coonian, Fivemiletown

An Roinn (Division)-Senior Second

An Roinn (Division)-Erne Cup/Reserve Erne Cup 2

Application is hereby made for and on behalf of the above named Club for affiliation to Coiste Chontae Fhearmanach de Chumann Lúth-Chleas Gael (The Fermanagh County Board G.A.A.) under the rules of Cumann Lúth Chleas Gael for which is enclosed herewith the Affiliation Fees.

OFFICERS OF CLUB:

Uachtarán (President): Canon Dawson

Cathaoirleach/ Chairperson:

Name: John Rooney

Address Lismalore, Brookeborough

Telephone Number: 028 895 31693

Telephone Number (Mobile)

E-mail address:

Leas Cathaoirleach/ Vice Chairperson:

Name: Gerard Moane

Address: Altmartin, Coonian, Co Fermanagh

Telephone Number:

Telephone Number (Mobile)

E-mail address:

Rúnai/ Secretary:

Name: Barry Boyle

Address: Curraghfad, Coonian, Fivemiletown

Telephone Number: 028 895 31542

Telephone Number (Mobile) 07993330954

E-mail address: brookeborohebermcmahons.fermanagh@gaa.ie

Cisteoir/ Treasurer:

Name: Gerry Boyle

Address Curraghfad, Coonian,

Telephone Number: 028 89531500

Telephone Number (Mobile) 07977026933

E-mail address:

Oifigeach na Páiste/Childrens Officer:

Name: Declan Maguire

Address, Lisolvan Park, Brookeborough

Telephone Number:

Telephone Number (Mobile) 07886029939

E-mail address:

Oifigeach Cultúra & Gaeilge/ Culture/Irish Language Officer:

Name: Tom Howell

Address

Telephone Number:

Telephone Number (Mobile)

E-mail address:

Oifigeach Caidreamh Poiblí / Public Relation Officer:

Name: Donal Boyle

Address Cornamuckle, Brookeborough

Telephone Number: 02889531752

Telephone Number (Mobile) 07871502689

E-mail address:

County Committee delegate (1):

Name: Gerry Boyle

Address Curraghfad, Coonian,

Telephone Number: 028 89531500

Telephone Number (Mobile)

E-mail address:

County Committee delegate (2):

Name: Gerard Moane

Address: Altmartin, Coonian, Co Fermanagh

Telephone Number:

Telephone Number (Mobile)

Club Referees (1):

Name: Joe Corcoran

Address 16 Tanyard Lane, Brookeborough, Co Fermanagh BT94 4AB

Telephone Number:

Telephone Number (Mobile) 00447826619500

Club Referees (2):

Name:

Address

Telephone Number:

Telephone Number (Mobile)

Note: If more than two referees, continue overleaf

Championship Competition Entry-Please indicate the number of teams in each grade.

Adult

Senior _____________________________________________

Intermediate ________________________________________

Junior/Reserve______________2__________________________

Under 21 ___________________________________________

Youth

Minor (U-18) 1

U-16 1

U-14 1

Affiliation Fees

ALL FEES ARE TO BE PAID WITH APPLICATION FOR AFFILIATION.

Club-€20

Adult Championships-€20 for each adult team

Youth Championship-€8 for each Youth Team Total Due: €84.00

Tracey Concrete- Official Sponsors of Fermanagh GAA