Registration Page

Membership of the PPN is open to ALL community & voluntary groups within Kilkenny which meet the following criteria:

Have a written constitution, operating rules & Procedures, and/or a memorandum of understanding & articles of association.
Be in existence for at least 6 months.
Be active in County Kilkenny.
Be open to new members.
Be broadly representative of and accountable to its membership base within County Kilkenny.
Have a formal structure e.g. Chairperson, Secretary, or Equivalent.
Be non-party political, non-sectarian, and non-discriminatory.
Hold an AGM and have regular meetings.

Registration Form

Name of Organisation: ^*

Address: ^*

Address Line 2:

City/County: ^*

Eircode:

Pillar that most closely represents your organisational aim: ^*

Municipal District your organisation is a member of: ^*

Cause that mostly represents the work of your organisation: ^*

Description/Aims: ^*

Date Organisation was established: ^*

Group's structure: ^*

If 'Other' group structure, please describe:

No. of paid staff in Organisation:

No. of volunteers in Organisation :

No. of staff on a scheme:

No. of members in Organisation:

Is membership open to everyone: ^*

Website:

Facebook page:

Twitter page:

Role in Organisation: ^*

I consent to you retaining my details below ^*

First Name: ^*

Last Name: ^*

Phone:

Mobile:

Email: ^*

I have Permission to Submit the Alternative Contact Details Below ^*

Alternate Contact Position:

Alternate Contact First Name:

Alternate Contact Last Name:

Alternate Contact Phone:

Alternate Contact Mobile:

Alternate Contact Email:

Send me a copy of this form at my email address

^* These fields are required.

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obtain and process personal data fairly;
keep it only for one or more specified and explicit lawful purposes;
process it only in ways compatible with the purposes for which it was given initially;
keep personal data safe and secure;
keep data accurate, complete and up-to-date;
ensure that it is adequate, relevant and not excessive;
retain it no longer than is necessary for the specified purpose or purposes; and,
provide a copy of his/her personal data to any individual, on request