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



Summer Season / Saison L'ete Night June 24 - Aug 22

#Code .. Day / Journee

Time / Temps

 Description

 Cost
  S1        Mondays / lundi   6:00 pm - 8:00 pm  Advanced Junior .. 9 Classes   $90
  S2        Tuesday / mardi    6:00 pm - 8:80 pm  intermediate Juniors .. 9 classes $90
  S3        Wednesday / Mecredi   6:00 pm - 8:00 pm   Advanced Junior Lessons .. 9 classes $90
  S4        Thursday / jeudi    6:00 pm - 8:00 pm  Intermediate Juniors  .. 9 classes $90
  S5        Friday / Vendredi   6:00 pm - 8:00 pm   Junior Lesson intermediate & advance .. 9 classes $90


Summer Weekly Mini Camp 3 hours / morning

#Code .. Day / Journee

Time / Temps

 Description

 Cost
  SM1      June 23 - June 27   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM2      June 30 - July 4   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM3      July 7 - July 11   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM4      July 14 - July 18   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM5      July 21 - July 25   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM6      July 28 - Aug 1   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM7      Aug 4 - Aug 8   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM8      Aug 11 - Aug 15   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125
  SM9      Aug 18 - Aug 22   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $125

Summer Weekly Mini Camp 3 hours / afternoon

#Code .. Day / Journee

Time / Temps

 Description

 Cost
  SX1      June 23 - June 27   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $125
  SX2      June 30 - July 4   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $125
  SX3      July 7 - July 11   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $125
  SX4      July 14 - July 18   1:00 pm - 4:00 pm  Junior age 12+ .. (5) 3 hour / classes $125
  SX5      July 21 - July 25   1:00 pm - 4:00 pm  Junior age 12+ .. (5) 3 hour / classes $125
  SX6      July 28 - Aug 1   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $125
  SX7      Aug 4 - Aug 8   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $125
  SX8      Aug 11 - Aug 15   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $125
  SX9      Aug 18 - Aug 22   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $125


# 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 :