Lisbellaw

FOIRM COMHALTAIS 2017

Ainm an Chumainn (Name of Club) Lisbellaw St. Patricks

Colours of Club & Alternative Colours__green/white__

An Paróiste (Parish) __Enniskillen

An Roinn (Division)-Senior_

An Roinn (Division)-Erne Cup/Reserve_______________________________________

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):_Rev Fr P McGuinness

Cathaoirleach/ Chairperson:

Name: Benny McManus

Address Moneybeg, Ballydoolagh, Enniskillen

Telephone Number: 02866326595

Telephone Number (Mobile) 07751802927

E-mail address:

Leas Cathaoirleach/ Vice Chairperson:

Name: Sean Duffy

Address Drummad, Lisbellaw

Telephone Number:

Telephone Number (Mobile)-07749199620

E-mail address:

Rúnai/ Secretary:

Name: Jacinta Teague

Address 28 Boyhill Road, Tattinderry, Maguiresbridge

Telephone Number: 02867722371

Telephone Number (Mobile) 07938374045

E-mail address: secretary.lisbellawstpatricks.fermanagh@gaa.ie

Cisteoir/ Treasurer:

Name: Kevin Corrigan

Address Drumboughlin, Maguiresbridge

Telephone Number: 02866387679

Telephone Number (Mobile) 07710366415

E-mail address:

Oifigeach na Páiste/Childrens Officer:

Name: Martina McCusker

Address Cavanacarragh, Lisbellaw

Telephone Number:

Telephone Number (Mobile) 07800842119

E-mail address:

Oifigeach Cultúra & Gaeilge/ Culture/Irish Language Officer:

Name:

Address

Telephone Number:

Telephone Number (Mobile)

E-mail address:

Oifigeach Caidreamh Poiblí / Public Relation Officer:

Name: Barrie Duffy

Address Drummad, Lisbellaw

Telephone Number:

Telephone Number (Mobile) 07564750864

E-mail address:

County Committee delegate (1):

Name: Jacinta Teague

Address as above

Telephone Number:

Telephone Number (Mobile)

E-mail address:

County Committee delegate (2):

Name: Kevin Corrigan

Address As Above

Telephone Number:

Telephone Number (Mobile)

Club Referees (1):

Name: Shane McGoldrick

Address Kinmore, Lisnaskea

Telephone Number:

Telephone Number (Mobile) 07894556662

Club Referees (2):

Name: Colm Rice

Address Main Street, Maguiresbridge

Telephone Number:

Telephone Number (Mobile) 07936007329

Note: If more than two referees, continue overleaf

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

Adult

Senior __1___________________________________________

Intermediate _________________________________________

Junior/Reserve________________________________________

Under 21 ___________________________________________

Youth

Minor (U-18)

U-16

U-14

U-12

Affiliation Fees

ALL FEES ARE TO BE PAID WITH APPLICATION FOR AFFILIATION.

Club-€20

Adult Championships-€20 for each adult team

Note:Majority of clubs will have teams in two competitions seniors & reserve.

Youth Championship-€8 for each Youth Team

Tracey Concrete- Official Sponsors of Fermanagh GAA