Badminton Registration@ CBA

Badminton Registration@ CBA
Student Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.
E-mail
example@example.com
Please note your selection
Student's Birthday

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Referred by: (100 CPoints will be given to the referrer)

First NameLast Name
message to CBA: which day you choose or others
Payment: We accept Cash, Check, Zelle and Credit Card.

Check: Please make it payable to : Chicago Badminton Academy

Zelle: Please send to: samuelcathy@gmail.com, 224-424-7373 Name: Jinhui Sun

Credit card: 3% transaction fee will be charged.
Signature

Clear
I have read, understand, and agree to all rules and terms posted by Chicago badminton Academy including but not limited to CBA Liability Waiver CBA Code of Conduct, etc.
Should be Empty: