Senior Membership

25%

Please fill in your details carefully.

Before you can become a member of the Irish Amateur Wrestling Association your must read and accept our Terms and Conditions along with out Anti-Doping Policy and Regulations

I agree to the IAWA Terms and Conditions

I agree to comply with the IAWA Anti-Doping Policy and Regulations

Fee's and Discounts

Senior (Over 20) Membership: €40
Senior (Over 20) Membership with Affiliated Club: €20
Optional Insurance: plus €50

50%

Account Details

Email Used as login

Password

Confirm Password

Personal Information

First Name

Last Name

Gender

Nationality

Date of Birth

Address

Town

County

Phone Number

Have you Wrestled before?

Yes

No

If Yes, Where?

Have you ever competed in any professional combat competitions as an Athlete

Yes

No

What type of combat sport (if any) do you practice? What level are you currently at?

Do you have any injuries or ailments that may impact on you training or that we should know about, such as a Heart Condition, Asthma, Diabetes, Do you have any allergies or other?.

Yes

No

If yes to any of the above including other, Please specify

75%

Club Details

If your club is affiliated:

Select your club if it is affiliated (Club could be contacted for verification)

If your club is not affiliated:

Club Name

Club Address

Club Phone Number

Club Email

Club President Name

Club President Phone Number

Club President Email

100%

Payment Details

One Year Membership Fee: €40

Add Individual Insurance for only €50 extra?

Card Holder Name

Credit Card Number

Expiration Month

Expiration Year

CVC

By Ticking this box you agree to have the card debited by the total amount due and certify that all details entered and confirmed during this transaction are correct

Senior Membership Registration