Rannóg na gCluichí Páirc an Chrócaigh Baile Átha Cliath 3 http://www.gaa.ie/the-gaa/rules-regulations/transfers-and-sanctions-information OFFICIAL SENIOR INTER- PERMIT FORM

FOR PLAYERS INTENDING TO PLAY SENIOR INTER-COUNTY HURLING FOR DESIGNATED (RIAIL 6.10 T.O. 2017)

AINM: ______D.O.B.: ______/ ______/ ______NAME: ______CURRENTADDRES): ______HOME HOME CLUB: ______COUNTY ______(A):

PLAYER’S STATUS (HOME CLUB)

[Tick the relevant boxes to indicate your current Playing Status for his Home Club] Junior □ Intermediate □ Senior □

I hereby declare that I intend to play for County ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ ˍ (B) under stipulation:

Please Cross out whichever line below, is NOT applicable

(a) Declare for the County of the First County of either of my parents

OR

(b) Play for my County of Residence (Provided this County is a designated County as provided for in Condition (1) below; while continuing to be eligible to play with my Home Club. Conditions 1) The County availing of this Rule is not participating in the All-Ireland Senior Hurling Championship (Liam McCarthy Cup) or Division 1 of the National League. 2) A County of availing of this Rule may have a maximum of three such players sanctioned in any Championship Year 3) The Permission of a Player’s Own County must be obtained. 4) A Player may avail of this Rule for only one county and may not declare for an Own County for football. 5) If a clash of Championship Fixtures arises between that of a Player’s Own Club and that of the County availing of this Rule, the player shall play with his Own Club. 6) Permission to avail of this Rule shall be for one Championship Year at a time, and application must be made annually for renewal of permission. The closing date for Applications each year shall be the 31st March. I agree to all terms listed and acknowledge that if my details are incomplete, I am unable to play until they are rectified and acknowledged by Central Council. DATE PLAYER’S SIGNATURE (In Irish): ______/ ______/ ______

SIGNED BY RUNAI (HOME CLUB): ______/ ______/ ______

SIGNED BY RUNAI (CONTAE A): ______/ ______/ ______

SIGNED BY RUNAI (CONTAE B): ______/ ______/ ______

SIGNED BY ARD-STÍURTHÓIR: ______/ ______/ ______