2022-2023 Club Registration Form

2022-2023 Club Registration Form

Club Information
Club Name *
Club Mailing Address *

Street Address

Street Address Line 2

City Province

Postal Code
Phone Number *

Area Code Phone Number
Club E-mail *
Facebook Profile
Instagram Profile

CLUB EXECUTIVE
When registering as a club, please list the executive members. Each club must have a minimum of 2 executive members

(Chairperson and Secretary/Treasurer positions are mandatory as per ABTA Bylaws).

CHAIRPERSON CONTACT INFORMATION
Chairperson Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number

VICE CHAIRPERSON CONTACT INFORMATION
Vice Chairperson Name

First Name Last Name
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number

TREASURER CONTACT INFORMATION
Treasurer Name

First Name Last Name
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number

SECRETARY CONTACT INFORMATION
Secretary Name

First Name Last Name
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number

CLUB COACHES
Please list all coaches hired by the club to teach classes, as well as their current coaching level. Please use the new CBTF Coaching Certification levels. *
Should be Empty: