Create an Account - Moncton Badminton Club

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Registration Form

Account Main Info

Username

Password

Confirm Password

Main Email Address

Phone Number

Player Info

Player First Name

Player Last Name

Player Gender

Player Date of Birth

Player Cell Phone (optional)

Player Email (optional)

Street Address

City

Postal Code

Medical Considerations

Parent Details

Mother's First Name

Mother's Last Name

Mother's Cell Phone

Mother's Email (optional)

Father's First Name

Father's Last Name

Father's Cell Phone

Father's Email (optional)

Waiver and more...

Permission:

I give permission for this child to be photographed, videotaped or interviewed by the media or club members during club activities. I understand these pictures/tapes may also be posted on Moncton Badminton Club's website, Badminton New Brunswick's website. I do not give permission for this child to be photographed, videotaped or interviewed by media or club members.

Waiver:

By checking this box, I waive any claims to which this child may become entitled for injury or damage, and release the Moncton Badminton Club, their coaches, employees and any other person or organization assisting from any claims for damages or injury suffered by the child as a result of the minor participating in or traveling to or from practices and tournaments. I further state that this child is in proper physical condition to participate in this Club, and am aware that participation could in some circumstances, result in physical injury.