Membership Form with Sofort

2025-2026 MEMBERSHIP*

RENEWALNEW

Name*

First NameLast Name

Athlete Gender

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Coach:

First NameLast Name

Coach email

example@example.com

Club afflifation

Type of Membership- pay the highest fee- check of all that will apply*

Athlete-competitive $50 (late fee $90)Athlete - recreation $15 (no late fee)Coach $50 (late fee $90)Judge $50 (late fee $90)Associate -Voting $50 (late fee $90)Associate- Non Voting $5 (no late fee)

For Athletes- birthdate

Date

Age as of Sept 1/25

Please select one

Canadian citizen ( Canadian passport)Landed immigrantPermanent resident (not eligible for International team spots)

Please indicate Athlete levels as of Sept 1/25**see Rule manual for level description**

	Novice	Beginner	Intermediate	Advance	Elite
Solo
2 Baton
3 Baton
X Strut
Artistic Twirl
Rhythmic Twirl
Duet
Artistic Twirl

** Late Fee- will apply to returning membership that is received after Nov 1**

"TERMS AND CONDITIONS: I agree that my membership is subject to the Canadian National Baton Twirling Association (CNBTA) Code of Practice and to the Constitution, By-laws and Rules of the Regulations of the CNBTA. The member agrees that any damages or losses, whether or not such damages or losses are caused by negligence or omission, shall not hold the CNBTA or their directors, officers or employees any liability to the member for such damages or losses. This includes any indirect consequential, special or compensating damages even if having been previously advised of the possibility of such damages. I understand photographs of me may appear on the CNBTA website, in print, brochures, social media or other promotional material. My name may be published in result listings. (Parent or guardian permission if under 18 years of age). Insurance certificates will be issued to all coaches only when completed membership forms and payment have been received by CNBTA Membership Co-ordinator. Any payment returned for insufficient funds will be subject to a $25.00 surcharge, payable within 10 days of notification. By signing below, I confirm I have read and accept the CNBTA Code of Practice and agree to receiving general information in regards to CNBTA to the email address listed above.
ANY CHANGES TO THE INFORMATION ON THIS FORM MUST BE REPORTED TO CNBTA MEMBERSHIP CO-ORDINATOR IMMEDIATELY AT – cnbtamembership@gmail.com.
"

Sign to confirm under 18 parent/ guardian*

MEMBERSHIP FORM