ONTARIO BADMINTON ASSOCIATION

Club Affiliation/Registration Form

2010-2011

 

Please complete this ENTIRE form, photocopy for your records, and send with your fee, to:

 

ODBA c/o Jianguo Zhou

47 Rivergreen  Cres,  Kanata, ON  K2M 2W9

 

A copy will be forwarded to the OBA to complete your affiliation.

Please note:  This form is used to update the OBA web site - Where to Play - and to provide a breakdown of membership for the grant application to the Ontario government that helps to support all Ontario badminton.

 

□ New Club Registration                   □ Renewal          

 

Club Name:

 

Facility Name:

 

Club/Facility address:

 

Nearest inter-

section

 

City/postal code

 

 

 

 

 

 

 

Club email:

 

Club web site:

 

 

 

 

 

Club type:

 

Adult       Junior     Adult & Junior  (please circle one)

Days open:

(please circle)    M  T  W  T  F  S  S

 

 

 

 

 

 

Club contact (for mailings and enquiries):

 

 

Name:

 

Email:

 

Club Position:

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

Phone (Home):

 

Phone (B):

 

Fax:

 

Cell:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Membership Numbers:

 

 

Junior

(Under 19):

 

Senior

(Over 19):

 

Master

(Over 35):

 

 

Coaches:

 

 

Officials:

 

 

TOTAL:   

 

 

 

 

 

 

 

 

 

Please submit a list of club players. Please also submit a list of all players/volunteers who coach or assist with a coaching programme at the club.

 

 

 

 

 

 

 

 

 

 

Fee enclosed $3 per club member:

 

 

 

 

 

 

 

 

 

 

 

Note: Club Insurance is purchased directly through the OBA – see separate forms.