THE IRISH ORIENTEERING ASSOCIATION 

Application for CLUB AFFILIATION

1.	NAME OF CLUB									(SEE NOTE BELOW)

2.	SHORT NAME OF CLUB			(SEE NOTE BELOW) (Not more than 6 characters. To be used for competition results.)
	Note the IOA may reject any club name or short name if either could be confused with the name of another club, or for any other good reason.

3.	FOR AFFILIATION AS:-	OPEN CLUB 	or CLOSED CLUB 		(Tick appropriate box)
	NOTE:	A "closed club" is one which restricts membership to individuals belonging to an institution or organisation (e.g. school, college, firm or military group) and which does not accept outside membership by invitation.  An "open club" is any club other than a closed club.

4.	If this application is in respect of a CLOSED CLUB, please state THE NAME OF THE INSTITUTION OR ORGANISATION to which members of the club must belong.

5.	WAS THE CLUB AFFILIATED PREVIOUSLY?	YES 	NO 		(Tick appropriate box)

6.	IF "YES" STATE ANY PREVIOUS NAMES, IF DIFFERENT FROM THE NAME AT 1 ABOVE.

7.	NAMES AND ADDRESSES OF CURRENT OFFICERS:-

	(a)		CHAIRPERSON										

												PHONE			

	(b)		SECRETARY											

												PHONE			

	(c)		TREASURER											

												PHONE			

8.	CENSUS	N.B.  Orienteering competition is classified in accordance with the age groups defined in Rules of Competition.  For this purpose, all ages change on each 1st January to the age at the birthday that year., e.g. a person who will be 35 on 1st December 1995 may compete at that age from the previous 1st January.  Every year in January we conduct a census of age groups.

Please give numbers of your membership in the following categories:-
(M = men,  W = women)

M21			W21		Persons 21 and not 35		M20-			W20-		Persons 19 and not 21	
M35			W35		Persons 35 and not 40		M18-			W18-		Persons 17 and not 19	
M40			W40		Persons 40 and not 45		M16-			W16-		Persons 15 and not 17	
M45			W45		Persons 45 and not 50		M14-			W14-		Persons 13 and not 15	
M50			W50		Persons 50 and not 55		M12-			W12-		Persons 11 and not 13	
M55			W55		Persons 55 and not 60		M10-			W10-		Persons 10 and under	
M60			W60		Persons 60 and not 65								
M65			W65		Persons over 65								

9.	MEMBERSHIP OF OTHER CLUBS
Rules of competition specify that a person may be a member of not more than one open club, and not more than one closed club. Please list the names of any of your members who are (or who have been since the beginning of last year) members of another similar (as at 3 above) club. Such members of other clubs must give one months formal notice of resignation to their old club before they can become members of your club.

NAME				OTHER CLUB				RESIGNATION DATE			

NAME				OTHER CLUB				RESIGNATION DATE			

NAME				OTHER CLUB				RESIGNATION DATE			
(If insufficient room, please continue the list on the back of this form).

10.	UNDERTAKING
If affiliation is granted, this club and all its members will comply with the Constitution and all the rules of the IOA and the Regional Body for the relevant area as current from time to time.
Current Affiliation Fees:  0-50 members £100,  51-100 members £160,  100+ members £200 + £1 for each member in excess of 100.  New clubs £50 for first two years.  All figures based on previous years census.

Signed						
				Chairperson/Secretary