Member Registration - Timmins Porcupine Badminton Club

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Member Details

First Name *

Last Name *

Gender *

Date of Birth *

Address *

City *

Province *

Postal Code

Phone Number *

Email *

I consider my badminton playing level as: *

Discovering

Beginner

Intermediate

Advanced

Emergency Contact

In event of emergency, who should be contacted?

Contact Name *

Emergency Contact Phone Number *

Student Details

Our facility rate rental agreement with the School Board encourages us to involve enrolled students to join our club. In order to demonstrate our support for student participation we would like to provide basic statistics to the School Board. We would appreciate it if you could provide this information below.

Are you a currently a student between grades 4-12?

Yes

No

Please indicate the school you attend:

Read rules *

I have read the membership and rules for participating in the Timmins Porcupine Badminton Club