Carleton University Badminton Club Registration Form:

Carleton University Badminton Club 2012-2013Full Name: _________________________Date of Registration (month/day): ______________Gender: Male ____ Female ____Date of Birth: ___________________________________YYYY / MM / DDEmail Address: ____________________________________________________________________Select Your Level of Play (please circle): 1 2 3 4 51 – Beginner (first year of playing badminton and learning the basics)2 – Beginner-Intermediate (playing 1-2 years and comfortable playing games)3 – Intermediate (playing 2+ years and still learning shots, strategy, and footwork)4 – Intermediate-Advanced (competent in all type of shots, strategy and footwork)5 – Advanced (trained and/or playing in tournaments)Which membership are you purchasing? Fall ($40) / Winter ($40) / Both ($60) / Early Bird ($50)I confirm that I have read and agree to adhere to the rules and regulations outlined page 2, andI acknowledge and accept the conditions of the Release, Waiver, and Indemnity Form found on page 2:_________________________MEMBER’S SIGNATURE_________________________DATEEmergency Contact Info:Name of Contact: _________________________________Phone #: (____)__________________QuestionnaireWould you be interested in:‣ A Ladder System? YES NOPrearranged competitive games where doubles teams compete for ladder ranking. At the end of the month,highest ranked teams within their category will receive a prize (unconfirmed). Price is approximately $5/team foreach term.‣ More tournaments? YES NOTournaments can either be internal or external/open, each with prizes for winners. Tournaments often take up toa full day with an entry of fee of approximately $20.Are you a STUDENT / FACULTY / ALUMNI of Carleton University? Please circle one if applicable.How did you find out about us? ______________________________________________________________Additional Comments: _____________________________________________________________________

General Membership InformationThe club meets on Sundays from 2-5 PM at the Norm Fenn GymnasiumThe badminton club website is http://www.carleton.ca/badmintonclubPlease direct questions or comments to: exec.cubc@gmail.comGym Rules Proper athletic clothing and appropriate non-marking footwear are required Avoid walking on the courts and near the courts during rallies and games in progress Foul language may result in a suspension of your club membership Do not disturb the activities in the gym before each badminton session starts Put your membership tag away before leaving the club*Please find all gym rules at www.carleton.ca/badmintonclub/rules.htmlRelease, Waiver, and Indemnity FormEach member, including executives, of the clubs/society must read, understand and accept this “Release, Waiver, and Indemnity”before signing the CUBC Membership Registration Form. Club executives MUST obtain the signature of every Club member, inaccordance with this waiver, who is to participate in a given Club activity before it takes place. If a participating member is harmedof injured in any way, and the member’s signature has not been obtained in accordance with this waiver, the burden of liability willfall upon the President of the Club/Society. This Waiver is valid once the club has achieved “certified” status upon conclusion of thecertification meeting in the term in which the club submitted this application package. This waiver is valid for a period of one year, oruntil the following year’s application package deadline, whichever comes first.In consideration of the acceptance by Carleton University Badminton Club a recognized CUSA Club(herein after referred to as “CUBC”), of my application for membership and the sponsorship by CUSAof the events conducted by CUBC, I hereby release, waive, and forever discharge CUBC and CUSA,its agents, employees, servants, and representatives of and from all claims, demands, costs, andexpenses, action and causes of action, whether in law or in equity (herein after referred to as“claims”), in respect to death, injury, loss, or damage to my person or property howsoever caused,including negligence on the part of CUSA, its agents, employees, servants and representatives, arisingout of or in any way connected with my participation in the events organized by or conducted byCUBC and sponsored by CUSA, whether at its facilities or not.I hereby agree to indemnity and hold harmless CUBC and CUSA, its agents, employee andrepresentative, from and against all claims incurred by any or all of them arising out of or in any wayconnected with my participation in the activities of CUBC.This Release, Waiver, and Indemnity Form is binding upon me, my heirs, executors,administrators, successors and assigns.From all of the officers of CUBC, we thank you for reading and acknowledging this form,Daniel Li, PresidentMrinal Chakravarty, Treasurer