Registration / Renewal Form

Please ensure to complete all sections on this form regardless of whether this is your first time registration or if you are renewing registration. If you have any questions about completing the form please contact the Registrar at


Clan name is mandatory
(in Irish)
In origins if "Other" is selected please give details.
In Ireland -
Elsewhere -
Please enter the number of Clan members who live outside Ireland
Note: The names and addresses of at least SIX adult members bearing the surname are required for the completion of full registration. These can include any officers listed above.)
Enter date and location of your next Clan Gathering or Special Event.
Date and location of your next Clan Gathering or Special Event.
Enter details of the contact person to be entered on the Clans of Ireland Website.
Enter details of a second contact person to ensure smooth administration.
Please read and select acceptance option below
You must accept the conditions of registration for this application to proceed.
Full Name :
Please enter your full name
email :
Plaese enter your email.
email :
Please enter your "backup person" contact email.
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
4 + 2 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.