Karate BC - Membership and event registration

Êtes-vous un nouveau membre ou un membre de retour? *

Je suis nouveau(elle) au sein de Karate BC
Je renouvelle mon affiliation à Karate BC

Prénom *

Nom *

Sexe *

Homme Femme Non binaire

Date de naissance * (AAAA-MM-JJ)

/ /

Photo de profil

Adresse postale - Adresse *

Adresse 2

Ville - Ma ville n'est pas répertoriée *

Province / État *

Pays *

Code postal *

Adresse e-mail * Recevoir des courriels

Numéro de téléphone * - Téléphone international

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 Recevoir des courriels

Parent/Guardian Phone - Téléphone international

Les autres informations

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? *

Type d’adhésion

Type d’adhésion *

Type d’adhésion (Karate BC Individual Membership)

Type d’adhésion *

Catégorie *

Type d’adhésion (Karate Canada) *

Coloured Belt (non accessible pour l’âge des inscrits.)

Coloured Belt

Black Belt (non accessible pour l’âge des inscrits.)

Black Belt

Renonciations

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

J’ai lu et accepte les conditions ci-dessus *

Kumakai Karate Vancouver (UBC Dojo)

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