Registration Form

Type of Member*

Email *

Date of Birth

What area are you living in?

Ireland & Northern Ireland

Great Britain

Rest of World

First Name *

Last Name *

Gender *

Mobile Phone*

Address Line 1 *

Address Line 2

Town *

County *

Country *

Eircode *

Don't know your Eircode? Click here to look it up

My Activities

Rank the following activities you participate in, selecting the activity most important/relevant to you first.

Select the activity from the left hand list and click the ">>" button to move it to the right hand list.

Trail walking (marked routes)

Hillwalking/Hiking

Outdoor Climbing/Bouldering

Indoor Climbing/Bouldering

Winter Mountaineering

Alpine Mountaineering

Mountain Running

Items listed in order of how often you participate

If you have an activity that is not listed, please add it here

Ethnicity *

Do you have a disability *

Note: The above questions are being asked so that participants have the best possible experience within our sport and so that Mountaineering Ireland can endeavour to provide a suitable level of support and assistance if it is required.

	I would like to receive Information via email from Mountaineering Ireland to keep up to date with news and information.
	I would like to receive a physical copy of the Mountain Log by post, when printed.
	I would like to receive a physical Membership Card in the post.

Do you want to add additional family members?

Password

Confirm Password

By completing this form and clicking submit, I confirm I have read and understood the privacy statement and how data will be used and shared and accept the Constitution, Policies and Codes contained within the organisation.

Insurance

Renewal Date

Individual Member Records

Club Member Records

Current Account Balance:

From here you can search for all transactions you have made on your account.
You can enter a from and to date to narrow the transaction range, or if you have a receipt number just enter it in the Receipt No control.
The Type drop down will allow you to view all transactions, paid transactions or owed transactions.

From:

To:

Receipt No:

Type

REPRESENTING + SUPPORTING
HIKING, CLIMBING + MOUNTAINEERING

MEMBERSHIP CARD

NAME: Member Name

CLUB: Club

MEMBERSHIP NO: MI Number
EXPIRY DATE: INSURANCE: Yes/No

Irish Sport HQ, National Sports Campus, Blanchardstown, D15 DY62
+353 (01) 625 115 | [email protected] | www.mountaineering.ie

Please note: If you want to upload any files to this digital log, please click here to open it in a separate window.

Welcome to your Digital Log. From here you can keep track of all your mountaineering activities. You can also share you mountain log with course providers or fellow Mountaineering Ireland members.

DLog Guide