2025-2026 Club Registration Form

2025-2026 Club Registration Form

Club Information
Club Name*
Club Mailing Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number*

Area CodePhone 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).

***IMPORTANT NOTE:

Each executive listed below must provide their own personal email address that is unique to them. Submissions using a shared or club email address will be rejected and returned for correction.

CHAIRPERSON CONTACT INFORMATION
Chairperson Name*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number

VICE CHAIRPERSON CONTACT INFORMATION
Vice Chairperson Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number

TREASURER CONTACT INFORMATION
Treasurer Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number

SECRETARY CONTACT INFORMATION
Secretary Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number

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