Application for
Season 2007-2008
To purchase
club insurance, the club must be affiliated with the applicable district (form
will come from your through district executive in September). However, as the insurance runs from 1st
July to 30th June, these forms may be completed and the insurance
fee paid at the date necessary for your club booking/operation. The insurance application and fee should be
sent directly to the OBA – address below.
Club
Name: __________________________________________________________________________
Address/Location of Club:
______________________________________________________________
____________________________________________________________________________________
School Board information (for additional insured, if necessary) ______________________________
____________________________________________________________________________________
District
Affiliation: _______________
Present #
of Members: ________________ Estimated #
by year end: ________
# of Junior Members (Under 19) ________ # of Seniors _______
Date Club Opens: ____________________ Date Club Closes:
______________
Club Contact/President: _____________________________________________________
Mailing
Address: __________________________________________________________
_________________________________________________ Postal Code: _________
Phone (H): ___________________________ Phone (B/Cell): __________________________
E-mail Address: ____________________ Club web site:
Please submit list of club
players complete with address – forms attached, or your own list. If applying to complete a booking with a
school board, please send the list when the club opens. If a badminton camp is run as part of the
club’s badminton programme, all those players not listed separately as club
members must be listed and the fee paid.
The players, by paying the camp fee, become members of the club for the
duration of the camp.
Base Insurance Fee $80.00 $80.00
# of Present Members ___ x $3.00 $______
Total Fees Enclosed $______
Our club agrees to affiliate with our district
immediately on receipt of the forms. We
also agree to meet the requirement of this insurance program, providing updates
of our membership and submitting $3.00 for each new member.
Signed: ______________________ Date:
____________________
Tel:
(416) 426-7192 Fax: (416) 426-7346
info@ontariobadminton.on.ca
