Karate BC - Membership and event registration

Club Information

Name of Club (My club is missing ) - Is yours missing? *

Short Club Name *

Club Address *

Club City *

Zone *

Club Postal Code *

Club Phone # * - International Number

Club Email Address * Opt in to emails

Club Website

Chief Instructor Information

Chief Instructor Full Name *

Chief Instructor Address *

Chief Instructor City *

Chief Instructor Postal Code *

Chief Instructor Phone # * - International Number

Chief Instructor Email * Opt in to emails

Chief Instructor Rank *

Club Secondary Contact

Secondary Contact same as Chief Instructor

Secondary Contact Full Name

Secondary Contact Address

Secondary Contact City

Secondary Contact Postal Code

Secondary Contact Phone # - International Number

Secondary Contact Email Opt in to emails

Club Specific Information

Club information to be sent to *

Date Club Was Started *

Club Style/Association *

Club Operations Questions (for insurance)

Facility Type *

If Private space or Private Residential Property, please provide municipal business license #:

If Public facility, how is the club paid by its members?

Additional Insured - If Required (please list organizations separated by a comma and exactly as you wish them to read on the insurance certificate)

Waivers

Karate BC Club Terms and Conditions

1. I understand that as an instructor member of Karate BC, I am obliged to register all of my students studying martial arts with me;

2. If I am teaching something other than Karate, I must provide proof of insurance for such activities;

3. Otherwise, I have registered all of my martial art students with Karate BC;

4. I understand that the only exception to this registration requirement is for students who are enrolled in short term programs; I understand that I am required to seek a sanction from Karate BC for any such short term activities;

5. I will continue to register new students on an ongoing basis, as they register with my club;

6. Students must register with Karate BC within three classes.

I have read and agree to the above *

Karate BC Club Membership

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