Karate BC - Membership and event registration

Are you a new or renewing member? *

I am new to Karate BC
I am already a member or am renewing my membership
with Karate BC

First Name *

Last Name *

Gender *

Male Female Non-binary

Date of Birth * (YYYY-MM-DD)

/ /

Profile Photo

Full Mailing Address - Street Address *

Address 2

City - My City is not listed *

Province/Territory/State *

Country *

Postal Code *

Individual Email * Opt in to emails

Phone Number * - International Number

Zone (auto-filled value is based on address)

Coaches and Instructors

This section is for those that are coaches and/or instructors of karate clubs or Provincial/National teams.

Are you teaching karate? *

If yes to Instructor, enter NCCP # (or click HERE to look it up or create one)

Officials

This section is applicable to those that are certified Karate BC Officials.

Are you a Karate BC certified Official? If yes, indicate current level. *

Parent/Guardian (required for 18 years & Under)

Parent/Guardian Name

Parent/Guardian Email Opt in to emails

Parent/Guardian Phone - International Number

Other Information

Member with a disability? *

Athlete Status *

As requested by Sport Canada, do you identify as Indigenous? *

Do you Volunteer at events/tournaments for Karate BC? *

Membership type (Karate BC Individual Membership)

Membership type *

Category *

Membership type (Karate Canada) *

Coloured Belt (not available for registrants age)

Coloured Belt

Black Belt (not available for registrants age)

Black Belt

Waivers

Safety and Acknowledgement of Risk

The responsibility for sport safety must be shared by all. I, the indicated individual or legal parent/guardian, am aware that there is a certain risk of injury involved in my own or my child's participation in sport, either while travelling to or from the event; or while attending or participating in the programs or activities of the events which are sanctioned/approved by Karate BC or its Member Clubs. It is understood by me that the electronic signing of this document is intended to indicate that on behalf of myself and/or my child I assume the shared responsibility and acknowledge the risk of injury by so participating.

Privacy Policy

By completing this membership application form, signing and joining Karate BC, I consent to the collection of this information and its use as per the Karate BC Privacy Policy as outlined HERE

For more information or to limit the release of information please contact the Karate BC Privacy Officer at info@karatebc.org

I have read and agree to the above *

Northern Rockies Karate-Do Chetwynd

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