CBTF Direct Membership Form

CBTF MEMBERSHIP APPLICATION FORM

EFFECTIVE SEPTEMBER 1, 2024
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
E-mail*
Membership*

NEW MemberRETURNING Member
Membership Number
if you know your current membership #, please enter
Birth Date - DD/MM/YYYY*
Age (as of December 31, 2020)*
e.g. 15
Gender*

FemaleMale
Are you a Canadian Citizen?*

YesNoPermanent Resident

Membership Type Descriptions

Type	Category	Description
Type A	Competitive	Individual Event Athletes & CBTF/WBTF/IC Teams & Groups
Type B	Pre-Competitive	All Pre Competitive Events & Pre Competitive Team Athletes
Type BR	Recreational/Skills Development	Skills Development Program Athletes (Badges)
Type D	Board, Executive, Full Member
Type E	Volunteer
Type G	Group Only	Exception: WBTF Team & International Cup Team & Group
Type T1	Technical Association FULL TECHNICAL MEMBER	Coach/Judge/Adjudicator/Course Conductor
Type T2	Technical Association NEW TECHNICAL MEMBER	Members under 18 years of age

Select Membership Type

NOTE:

You only need to pay only one fee. If you are unsure, please email 2ndvp@CBTF.com You may require more than one memership type. If this is the case, please review the "Combo" list

****NOTE: A member who is an athlete and also a technical member (i.e coach), will be required to have both membership types. The member only pays the highest membership fee - An example membership number for this type would look like this: DR-12345-A,T1
Membership Type

`Type`	New Members OR Returning Members If Fee Received By Nov. 14/24	Returning Members If Fee Received After Nov. 15/24	Returning Members If Fee Received After Mar. 1/25
A	$45.00	90.00	$135.00
B	$15.00	$15.00	$15.00
BR	$10.00	$10.00	$10.00
D	$ 40.00	$80.00	$120.00
E	$10.00	$10.00	$10.00
G	$15.00	$30.00	$45.00
T1	$75.00	$150.00	$225.00
T2	$65.00	$140.00	$205.00

Total Membership Fees Due*
The amount owing is due upon submission of this form. Please e-transfer Terry Stewart @ treasurer@cbtf.ca Memo field to contain: Direct membership registration for "athlete name"

COMPETITION/SANCTIONED EVENT WAIVER

Participant's Assumption of Risk
2024-2025 COMPETITION SEASON

I am aware and understand that there are a number of inherent risks involved in my participation in this sporting activity and are beyond the control of the Canadian Baton Twirling Federation, the Provincial Association or Corporation in the province in which any competition and/or sanctioned activity in which I participate takes place, the host club(s) or province, the event or competition director, the owner, occupier, operator, and/or tenant of the event facility, and any person, corporation or organization associated with the operation of such competitions or events. I further agree that I am assuming personal responsibility for any costs as well as any loss, damage, injury or ambulance service resulting from or in connection with such participation at each competition in which I compete, or event in which I participate. I have read and understand this Waiver.
Date*

MonthDayYear
Date
Signature (parent/guardian if member is under 18 years)*

Clear

Terms & Conditions & COVID-19 Waiver
TERMS & CONDITIONS

I agree that my membership is subject to the Rules, Regulations and By-Laws of the Canadian Baton Twirling Federation and the Provincial Association. The member agrees that, whether or not such damages or losses are caused by negligence; in no event shall the Canadian Baton Twirling Federation, the Provincial Organization or their directors, officers or employees or agents have any liability to the member for damages or losses of any kind whatsoever or for any indirect, special or consequential damages even if advised of the possibility of such damages. I acknowledge that I have read and understood this waiver.
COVID-19 Waiver

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Canadian Baton Twirling Federation, the Provincial Association or Corporation, and member clubs have put in place preventative measures to reduce the spread of COVID-19; however, I understand that the CBTF, Provincial Association or Corporation and member clubs cannot and do not guarantee that I will not become infected with COVID-19. Further, participating in any group activity and sports may significantly increase my risk of contracting COVID-19 and such exposure may result in temporary or permanent personal injury, illness, disability or death and I freely and voluntarily agree to assume all the foregoing risks. I have read and understand this Waiver.
Date*

MonthDayYear
Date
Signature (parent/guardian if member is under 18 years)*

Clear

CBTF MEDIA CONSENT
Photography/Media Coverage/Website
During the year, photographs of members may be taken during competitions, banquets, clinics, awards and special presentations or other occasions. Your consent is required or parental/guardian consent if the athlete is under the age of majority. Media coverage is occasionally done throughout the competition season in order to promote the sport of Baton Twirling and to acknowledge club and athlete's accomplishments. This means publishing of member's names and club associations in the local newspapers and on the CBTF website. On occasion the media will attend competitions including radio, television, newspaper etc. At these times, it will be the parents' responsibility to provide parental consent to the specific media outlets.
Do you grant the Canadian Baton Twirling Federation permission to post all forms of publicity including full name and image? *

YES - permission is grantedNO - permission is not granted
Date*

MonthDayYear
Date
Signature (parent/guardian if member is under 18 years)*

Clear
I certify the information above is correct. By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. **

AGREE
Should be Empty: