WEST ISLAND BADMINTON CLUB
INSCRIPTION / REGISTRATION

General Information généraux
 Email / courriel   johndoe@yahoo.ca
 Email / courriel verification   johndoe@yahoo.ca
 Referred By / Refere par   Referral name or blank / Nom reference ou vide
 Address 1 / Adresse 1   ex. 423 Antoine Faucon
 Address 2/ Adresse 2   ex. Pierrefonds, Quebec
 Postal Code postale   ex. H9J 1J6

 Home / Maison
Area Code Regionale		   514  Home / Maison Tel #   ex.620-1345
 Work / Travail
Area Code Regionale		   514  Work / Travail Tel #   ex.844-5643



Adult Badminton Registration


Adult Program / Programme adulte (18 et plus/over)

Code .. Fall / l"automne 2023 Sept 13 - Dec 22
FA1 ...(15) 2 heurs jouer / (15) 2 hours open play ... 20h00 - 22h00 .. Mecredi / Wednesday intermediate - expert ($120)
FA2 ...(15) 2 heurs jouer / (14) 2 hours open play ... 20h30 - 22h45 ..Vendredi / Friday .. all levels ($85)
FA3 ...(14) 2 heurs jouer / (14) 2 hours open play ... 20h00 - 22h15 ..Dimanche / Sunday .. all levels ($78)
F6 ... (14) 1.5 heurs des leçons samedi / (14) 1.5 hours lessons Saturday ... 13h00 - 14h30 .. adulte / adultes ($140)
F7 ... (14) 1.5 heurs des leçons samedi / (14) 1.5 hours lessons Saturday ... 14h30 - 16h00 .. adulte / adultes ($140)
FO1 ...(14) 2.0 heurs des jouer ouverte samedi / (14) 2.0 hours Open Play Saturday ... 16h00 - 18h00 .. Open Play Junior/Parents/Adults ($85)

Code .. Winter & Spring / Hiver & Printemp 2024 Jan 11 - May 28
WA1 ... (20) 2 heurs jouer / (18) 2.25 hours open play ... 20h00 - 22h00 .. Mecredi / Wednesday intermediate - expert ($160)
WA2 ... (18) 2 heurs jouer / (18) 2.25 hours open play ... 20h30 - 22h45 ..Vendredi / Friday .. all levels ($110)
WA3 ...(18) 2 heurs jouer / (18) 1.75 hours open play ... 18h30 - 20h15 ..Dimanche / Sunday .. all levels ($110)
W6 ... (18) 1.5 heurs des leçons samedi / (18) 1.5 hours lessons Saturday ... 13h00 - 14h30 .. lessons adulte / adultes ($180)
W7 ... (18) 1.5 heurs des leçons samedi / (18) 1.5 hours lessons Saturday ... 14h30 - 16h00 .. lessons adulte / adultes ($180)
WO1 ... (18) 2 heurs jouer samedi / (18) 2 hours open play Saturday ... 16h00 - 18h00 .. Open Play Junior/Parents/Adults ($105)


Code .. Adult Summer / Ete 2024
SA1 ... (7) 2.25 heurs des jouer lundi / (7) 2.5 hours play Monday ... 8 pm - 10:15 pm .. advanced adults ($45) ..June 24 - Aug 5
SA2 ... (7) 2.25 heurs des jouer mardi / (7) 2.5 hours play Tuesday ... 8 pm - 10:15 pm .. recreational adult ($45) ..June 25 - Aug 6
SA3 ... (7) 2.25 heurs des jouer mecredi / (7) 2.5 hours play Wednesday... 8 pm - 10:15 pm .. advanced adults ($45) ..June 26 - Aug 7
SA4 ... (7) 2.25 heurs des jouer jeudi / (7) 2.5 hours play Thursday ... 8 pm - 10:15 pm .. recreational adults ($45) ..June 27 - Aug 8
S5 ... (7) 2 heurs des leçons mecredi / (7) 2 hours lessons Wednesday... 4 pm - 6 pm .. junior / adult .. parent training ($70) ..June 26 - Aug 7
S6 ... (7) 2 heurs des leçons jeudi / (7) 2 hours lessons Thursday ... 4 pm - 6 pm .. junior / adult .. parent training ($70) ..June 27 - Aug 8


    Pour réserver un créneau horaire, entrez le code SA1 FA1 WA1 .. vous pouvez mettre plus de une
    To book time slot enter codes : SA1 FA1 WA1 .. you enter more than one.
# Prénom
First Name 		Nom de famille
Last Name		 Sex
( M/F ) 		Singles
Ladder 		Time Slot
night/lesson
1.  
2.  


Junior Badminton Registration


*** Special Summer Weekly Junior Mini Camp 3 hours / morning

#Code .. Day / Journee

Time / Temps

 Description

 Cost
  SM1      June 24 - June 28   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM2      July 1 - July 5   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM3      July 8 - July 12   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM4      July 15 - July 19   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM5      July 22 - July 26   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM6      July 29 - Aug 2   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM7      Aug 5 - Aug 9   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125


Regular Junior Program / Programme Junior (19 ans et moin/less)

Code .. Junior Fall / l"automne 2023 Sept 13 - Dec 23 2023
F1 ... (15) 1.5 heurs des leçons mercredi / (17) 1.5 hours lessons Wednesday ... 18h30 - 20h00 .. expert juniors ($150)
F2 ... (15) 1.5 heurs des leçons vendredi / (15) 1.5 hours lessons Friday ... 19h00 - 20h30 .. intermediate - expert ($150)
F3 ... (13) 1.5 heurs des leçons dimanche / (14) 1.5 hours lessons Sunday ... 18h30 - 20h00 .. intermediate - expert ($130)
F4 ... (14) 1.5 heurs des leçons samedi / (14) 1.5 hours lessons Samedi ... 10h00 - 11h30 .. debutants / beginners 6 yrs - 9 yrs ($140)
F5 ... (14) 1.5 heurs des leçons samedi / (14) 1.5 hours lessons Samedi ... 11h30 - 13h00 .. debutants / beginners 8 yrs - 12 yrs ($140)
F6 ... (14) 1.5 heurs des leçons samedi / (14) 1.5 hours lessons Samedi ... 13h00 - 14h30 .. Adults / intermediate - Juniors ($140)
F7 ... (14) 1.5 heurs des leçons samedi / (14) 1.5 hours lessons Samedi ... 14h30 - 16h00 .. Adults / Juniors ($140)
FO1 ... (14) 2.0 heurs des jouer ouverte samedi / (14) 2.0 hours Open play Samedi ... 16h00 - 18h00 .. Open Play Junior/Parents/Adults ($84)


Code .. Junior Winter & Spring / Hiver & Printemp 2024 Jan 11 - May 28 2024
W1 ... (20) 1.5 heurs des leçons mercredi / (20) 1.5 hours lessons Wednesday ... 18h30 - 20h00 .. intense junior training ($200)
W2 ... (18) 1.5 heurs des leçons vendredi / (18) 1.5 hours lessons Friday ... 19:00 - 20h15 .. all levels ($180)
W3 ... (18) 1.5 heurs des leçons dimanche / (18) 1.5 hours lessons Sunday ... 18h30 - 20h00 .. all levels ($180)
W4 ... (18) 1.5 heurs des leçons samedi / (18) 1.5 hours lessons Samedi ... 10h00 - 11h30 .. debutants / beginners 6 yrs - 9 yrs ($180)
W5 ... (18) 1.5 heurs des leçons samedi / (18) 1.5 hours lessons Samedi ... 11h30 - 13h00 .. debutants / beginners 8 yrs - 12 yrs ($180)
W6 ... (18) 1.5 heurs des lecons samedi / (18) 1.5 hours lessons Samedi ... 13h00 - 14h30 .. Adults / Juniors advanced ( $180 )
W7 ... (18) 1.5 heurs des lecons samedi / (18) 1.5 hours lessons Samedi ... 14h30 - 16h00 .. Adults / Juniors advanced ( $180 )
WO1 ... (18) 2.0 heurs jouer ouverte samedi / (18) 2.0 hours open play Samedi ... 14h30 - 16h30 .. Open Play Junior/Parents/Adults ($110)

Code .. Junior Summer / Ete 2024
S1 ... (7) 2 heurs des leçons lundi / (7) 2 hours lessons Monday ... 6 pm - 8 pm .. advanced junior training ($70) ..June 24 - Aug 5
S2 ... (7) 2 heurs des leçons mardi / (7) 2 hours lessons Tuesday ... 6 pm - 8 pm .. intermediate junior training ($70) ..June 25 - Aug 6
S3 ... (7) 2 heurs des leçons mecredi / (7) 2 hours lessons Wednesday... 6 pm - 8 pm .. advanced junior training ($70) ..June 26 - Aug 7
S4 ... (7) 2 heurs des leçons jeudi / (7) 2 hours lessons Thursday ... 6 pm - 8 pm .. intermediate junior training ($70) ..June 27 - Aug 8
S5 ... (7) 2 heurs des leçons mecredi / (7) 2 hours lessons Wednesday... 4 pm - 6 pm .. junior / adult .. parent training ($70) ..June 26 - Aug 7
S6 ... (7) 2 heurs des leçons jeudi / (7) 2 hours lessons Thursday ... 4 pm - 6 pm .. junior / adult .. parent training ($70) ..June 27 - Aug 8
# Prénom
First Name 		Nom
Last Name		 Sex
(M/F) 		Birth
Naiss 		Leçons#
Lessons#
1
2
3
4


Problème médical / Family Medical Problems
 Medical Problem  
Emergency Tel# Urgence
 
 
    


Special Administration non_wibc entry ( blank ) : Class :