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 25 - Aug 14 .. Registration starts April 14 ... closed July 1

#Code .. Day / Journee

Time / Temps

 Description

 Cost
  S1        Mondays / lundi   6:00 pm - 8:00 pm (2 hours)  Advanced Junior .. 7 Classes   $80
  S2        Tuesday / mardi    6:00 pm - 8:80 pm (2 hours)  intermediate Juniors .. 7 classes $80
  S3        Wednesday / Mecredi   6:00 pm - 8:00 pm   Advanced Junior Lessons .. 6 classes (2 hours) $70
  S4        Thursday / jeudi    6:00 pm - 8:00 pm (2 hours)  Intermediate Juniors  .. 8 classes $90
  S5        Friday / Vendredi   6:00 pm - 8:00 pm (2 hours)   Junior Lesson intermediate & advance .. 8 classes $90
  S6        Sunday / dimanche   6:00 pm - 8:00 pm (2 hours)   Junior /adult Lessons all levels .. 7 classes $80
  SA1        Monday / lundi   8:00 pm - 10:30 pm (2.5 hours)  Adult advanced .. 7 night open play $49
  SA2        Tuesday / mardi    8:00 pm - 10:30 pm (2.5 hours)  Adult Intermediate .. 7 nights open play $49
  SA3      Wednesday / mecredi   8:00 pm - 10:30 pm (2.5 hours)  Advanced Adults .. 6 nights open play $43
  SA4      Thursday / Jeudi   8:00 pm - 10:30 pm (2.5 hours)  Intermediate Adults .. 8 nights open play $55
  SA5      Friday / Vendredi     8:00 pm - 10:30 pm (2.5 hours)  Intermediate & advanced Adults ... 8 nights open play $55
  SA6      Sunday / dimanche     8:00 pm - 10:30 pm (2.5 hours)  all level Adults ... 8 nights open play $55


Summer Weekly Mini Camp 3 hours / morning .. Registration starts April 14 ... closed July 1

#Code .. Day / Journee

Time / Temps

 Description

 Cost
  SM1      June 25 - June 26   9:00 am - 12:00 pm  Junior age 7 - 12 .. (2) 3 hour / classes $56
  SM2      June 29 - July 3   9:00 am - 12:00 pm  Junior age 7 - 12 .. (4) 3 hour / classes $112
  SM3      July 6 - July 10   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $140
  SM4      July 13 - July 17   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $140
  SM5      July 20 - July 24   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $140
  SM6      July 27 - July 30   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $140
  SM7      Aug 3 - Aug 7   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $140
  SM8      Aug 10 - Aug 14   9:00 am - 12:00 pm  Junior age 7 - 12 .. (5) 3 hour / classes $140

Summer Weekly Mini Camp 3 hours / afternoon .. Registration starts April 14 ... closed July 1

#Code .. Day / Journee

Time / Temps

 Description

 Cost
  SX1      June 25 - June 26   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $56
  SX2      June 29 - July 3   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $112
  SX3      July 6 - July 10   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $140
  SX4      July 13 - July 9   1:00 pm - 4:00 pm  Junior age 12+ .. (5) 3 hour / classes $140
  SX5      July 20 - July 24   1:00 pm - 4:00 pm  Junior age 12+ .. (5) 3 hour / classes $140
  SX6      July 27 - July 3   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $140
  SX7      Aug 3 - Aug 7   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $140
  SX8      Aug 10 - Aug 14   1:00 pm - 4:00 pm  Junior age 12 + .. (5) 3 hour / classes $140


# 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 :