Play Badminton TAS - Registration Form

Sessions at the Badminton Centre in South Hobart on Thursday's from 4.45-6.15pm. (90 min session)*

7 sessions for $120Pay per session $25

Player Information

Athlete's Name

First NameLast Name

Gender

MaleFemale

Birth Date

MonthDayYear

Grade

Is the player a current member of Southern Tasmanian Badminton Association?

YesNo

Is the player currently training on Saturdays as part of the junior session or / and Super Smash?

YesNo

Parent/Guardian Information

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code

Email*

example@example.com

Mobile Number

Comments

Payment type

Bank TransferCash payment at the first session

Account Name: Lasse Bundgaard

BSB: 013125 Account: 227087796

Comments

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Play Badminton Tasmania during the selected sessions. In exchange for the acceptance of said child’s candidacy by Play Badminton Tasmania. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Play Badminton Tasmania and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected sessions.

In case of injury to said child, I hereby waive all claims against Play Badminton Tasmania. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

If signing up to be a member I agree to abide by the Constitution and By-Laws of the Association. I will receive a one year membership of the Southern Tasmanian Badminton Association (STBA) and my personal details from this form will be provided to the Association and included in the membership database.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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