Registration Were you a KBC member last Badminton Season * —YesNoName * Name Tag for Player Board (if different) Gender * —F- FemaleM – MaleO – OtherEmail * Address * Date of Birth * (yyyy mm dd) Main Phone * Other Phone Emergency Contact * Relationship * —SpouseParentOther FamilyFriend Emergency Contact Phone * Payment Method * —CashCheque: Kanata Badminton Clube-Transfer: firstname.lastname@example.org Please do not set a password if you use e-Transfer Payment Amount * —$120 Early Fee before 2019 06 07$140 New Members or after 2019 06 07 Conditions of Application: Kanata Badminton Club reserves the right of acceptance and rejection of any membership application. The Club will notify the applicant by email the acceptance of the applicant’s membership application. In consideration of the Kanata Badminton Club accepting my application as a participant in the mentioned club, I hereby agree to abide by the rules and regulations, policies and procedures of the Kanata Badminton Club. I further agree that the Kanata Badminton Club, its executive members or volunteers will not be held responsible for any loss, damages or injury incurred during said participation. Unacceptable behaviour and misconduct exhibited in the facilities may result in expulsion from the club. The information collected on this form may be required to be provided to third parties. Member has the right to withdraw at any time the consent of providing the information to any third parties. Parent Name for Junior Players only I have read and understood the conditions * —YesNo Date conditions were accepted * (yyyy mm dd) Are you a bot? Answer this math question to valid 3 + 2?