Membership Registration And Agreement printable pdf download

Membership Registration And Agreement

Su BADMINTON CLUB

MEMBERSHIP REGISTRATION AND AGREEMENT

Welcome and thank you for choosing the Su Badminton Club. Please sign at the bottom of this agreement after

carefully reviewing the Terms and Conditions and the Waiver and Release of Liability on the back of this

Agreement.

First Name: ______________

Last Name: _______________

Date of Birth:

DD/MM/YYYY

Address: ________________________________________________________________________

City: _________________

Prov.: __________________

Postal code: __________________

Home Tel.: __________________ Work Tel.:_________________ Cellular Tel.:_______________

Employer: (optional) _________________________________________

E-Mail: (optional)

__________________________________________

Emergency contact (name & phone): ____________________________________________________

Membership Type: ( Individual / Family / Group )

Group Leader Number (if applied): G____________________

Please complete this Membership Agreement

The undersigned (herein referred to as Member) hereby applies for membership in the Su Badminton Club and agrees to comply with the

terms and conditions set forth in this Agreement.

I have read, fully understand, and agree to comply with all terms stipulated in the Agreement and the Waiver and Release of Liability and

agree to release the use of my name, address, phone, and email for this membership directory, and confirm that all the information I have

provided is accurate.

_____________________________________________

___________________________________________

Signature of applicant

Date

____________________________________

Name of applicant (please print)

___________________________________

Processed by (initial by the SBC staff )

Administration Use Only

Membership Number: ________________________

Membership - Starting Date:

DD/MM/YYYY

Ending Date:

DD/MM/YYYY

Payment: $

( cash / debit )

Membership Registration And Agreement