2023-2024 NCWC Membership Form

2023-2024 NCWC Membership Form

2023-2024 Membership Form
- Name*
  
  First NameLast Name
- MaleFemaleGenderqueer/non-binaryNot captured by these optionsPrefer not to say
- Birth Date*
  
  MonthDayYear
  Date
- Address*
  
  Street Address
  
  Apartment / Suite
  
  CityProvince
  
  Postal CodeCountry
- Email*
  example@example.com
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Health Card Number*
  e.g. 1234-456-890
- Name
  
  First NameLast Name
- Email
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Name*
  
  First NameLast Name
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- The current membership season starts September 1, 2023 and ends August 31, 2024. Multi-athlete families receive a discount on membership fees (this does not apply to OAWA fees).
  
  Please send all etransfers to nationalcapitalwrestling@gmail.com
- Annual Membership (ages 5-12) = $380Annual Membership (ages 13+) = $435Annual Membership Multi-Athlete Discount = $220
- Should be Empty: