WEST ISLAND BADMINTON CLUB
INSCRIPTION / REGISTRATION

General Information généraux
 Email / courriel   johndoe@yahoo.ca
 Email / courriel verification   johndoe@yahoo.ca
 Referral ( *** manditory survey )
 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




Fall Season / Saison L'autome Sept 17 (( Registration Starts Aug 18 ))

#Code .. Day / Journee

Time / Temps

 Description

 Cost
  F1        Wednesday / Mercredi   6:00 pm - 8:00 pm  Olympic Plus Advanced Junior Ecole DDO .. 14 Classes   $150
  F2        Friday / vendredi    7:00 pm - 8:30 pm  Junior Lessons Polyvalent Des Sources .. 14 classes $150
  F3        Sunday / dimanche   5:30 pm - 7:15 pm  Junior Lessons Polyvalent Des Sources .. 14 classes $150
  F4        Saturday/ samedi    10:00 am - 11:30 am  Junior Lessons Ecole DDO  .. 14 classes $150
  F5        Saturday/ samedi   11:30 am - 1:00 pm  Junior Lessons Ecole DDO .. 14 classes Ecole DDO $150
  F6        Saturday/ samedi    1:00 pm - 3:00 pm
  (2 hrs ..New)		  Adult / advanced Juniors Lessons Ecole DDO .. 14 classes $160
  F7        Saturday/ samedi    3:00 pm - 4:30 pm  Adult Beginner / Intermediate Lessons Ecole DDO .. 14 classes $150
  FA1      Wednesday / mercredi   8:00 pm - 10:00 pm  Advanced Adults Ecole DDO .. 14 nights $98
  FA2      Friday / vendredi    8:30 - 10:45 pm  Adult Play Polyvalent Des Source ( all levels ) ... 14 nights $84
  FA3      Sunday / dimanche   7:15 pm - 9:30 pm  Adult Play Polyvalent des Sources ... 14 nights $84
  FB1      Saturday/ samedi   2:00 pm - 4:00 pm   Open Play at Polyvalent Des Source ..
  14 afternoons Juniors / Parents / Adults		 $84
  FB2      Saturday/ samedi   4:00 pm - 6:00 pm   Open Play at Polyvalent Des Sources ..
  14 afternoons Young Adults ages 18 - 40 		$84

Adult Badminton Registration




    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


# 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 :