Membership Application 23/24

E-transfer Instructions : bbcbellevilledues@gmail.com

Submit one application form per player and complete below payment summary per family unless paying separately. On the other family member application form leave payment details blank. Reminder to send the Interac E transfer in a timely fashion with the application forms.

Personal Details: 

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Membership Type *
First Name *
Last Name *
Known As *
Address Details
Street Number  *
Street Name *
City *
Postal Code *
Email Address *
Phone Number *
Emergency Contact Details 
Contact Name *
Relationship *
Best Phone Number *
Individual Membership Type *
Volunteer Opportunities

Help is always appreciated for both Adult and Junior clubs. 

 *
Acceptance and Declaration: 
I confirm all details completed are correct and I will abide by club rules and etiquette (refer club web page). The Belleville Badminton Club is a volunteer organization and we strive for a safe, fun environment.
 *
Required

Membership Payment Submitted: (complete this section one per family unless paying separately)

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Adult Season $160
Bay of Quinte Jr $90
Clear selection
Do you avail any of the below discount?
Total Fee Submitted
Excluding applicant, payment sent for (name) 
Pls add Jr member ages
Submit
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