SASKATCHEWAN BLIND SPORTS ASSOCIATION and CANADIAN BLIND SPORTS ASSOCIATION

Volunteer MEMBERSHIP APPLICATION FORM 2010-2011

 

Please ensure this information is correct and complete; indicate any changes in the appropriate area.

 

PERSONAL INFORMATION

NAME:

 

 

ZONE:

 

ADDRESS:

 

 

MALE:

 

CITY/PROVINCE:

 

 

FEMALE:

 

POSTAL CODE:

 

 

DATE OF BIRTH:

 

PHONE NUMBER:

 

 

MEMBERSHIP #:

 

E-MAIL ADDRESS:

 

 

AREA OF DISCIPLINE

ATHLETICS

No Longer Offered

 

LAWNBOWLING

 

BOWLING

 

 

POWERLIFTING

 

CURLING

 

 

SHOWDOWN

 

GOALBALL

 

 

INACTIVE

 

GOLF

 

 

 

 

 

SIGHT CLASSIFICATION (Only Athletes to complete)

 

B1 (Total)

 

 

B2 (Low Partial)

 

 

B3 (Partial)

 

 

Please indicate if you have completed any NCCP (National Coaches Certification Program) courses.  (List courses.)

 

 

 

 

Please indicate:  if you prefer INDIVIDUAL or HOUSEHOLD (one copy of mail-outs and newsletters will suffice for all members within your household); if you prefer newsletters on AUDIO CASSETTE or by E-MAIL;

 

Individual

 

 

Household

 

 

Audio Cassette

 

 

E-Mail

 

 

Membership Fee for 2009-2010 is $10.00.  You automatically become a member of Canadian Blind Sports Association (CBSA).

Please make cheque payable to                    SASKATCHEWAN BLIND SPORTS ASSOCIATION

and return along with this Form to                  510 CYNTHIA STREET

                                                                        SASKATOON SK  S7L 7K7

 

Your Application will be processed by the SBSA Office. 

 

 

SASKATCHEWAN BLIND SPORTS ASSOCIATION and CANADIAN BLIND SPORTS ASSOCIATION

athlete MEMBERSHIP APPLICATION FORM 2010-2011

 

Please ensure this information is correct and complete; indicate any changes in the appropriate area.

 

PERSONAL INFORMATION

NAME:

 

 

ZONE:

 

ADDRESS:

 

 

MALE:

 

CITY/PROVINCE:

 

 

FEMALE:

 

POSTAL CODE:

 

 

DATE OF BIRTH:

 

PHONE NUMBER:

 

 

MEMBERSHIP #:

 

E-MAIL ADDRESS:

 

 

AREA OF DISCIPLINE

ATHLETICS

No Longer Offered

 

LAWNBOWLING

 

BOWLING

 

 

POWERLIFTING

 

CURLING

 

 

SHOWDOWN

 

GOALBALL

 

 

INACTIVE

 

GOLF

 

 

 

 

 

SIGHT CLASSIFICATION (Only Athletes to complete)

 

B1 (Total)

 

 

B2 (Low Partial)

 

 

B3 (Partial)

 

 

Please indicate if you have completed any NCCP (National Coaches Certification Program) courses.  (List courses.)

 

 

 

 

Please indicate:  if you prefer INDIVIDUAL or HOUSEHOLD (one copy of mail-outs and newsletters will suffice for all members within your household); if you prefer newsletters on AUDIO CASSETTE or by E-MAIL;

 

Individual

 

 

Household

 

 

Audio Cassette

 

 

E-Mail

 

 

Membership Fee for 2009-2010 is $10.00.  You automatically become a member of Canadian Blind Sports Association (CBSA).

Please make cheque payable to                    SASKATCHEWAN BLIND SPORTS ASSOCIATION

and return along with this Form to                  510 CYNTHIA STREET

                                                                        SASKATOON SK  S7L 7K7

 

Your Application will be processed by the SBSA Office.

 

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