* Required fields # of individuals you want to register: 123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500
First Name * Last Name * For Sport Canada reporting please select the gender option that best describes you * Male Female Non-binary City Club Apply to all Select club...AR Kaufman YMCABarrie YMCABase Borden Rec CentreBob MacQuarrie Recreation ComplexBurlington YMCACaboto ClubCambridge YMCACedar SpringsChris Gibson Rec CentreColumbus CentreCommerce West Wellness CentreCrescentownEllen Mitchell Rec CentreFort Erie Racquetball ClubFort Erie YMCAGarnet A Williams Community CentreHamilton YMCAIndependent OntarioKingsway CollegeLeamington Kinsmen Rec ComplexMidland YMCANiagara Falls YMCANottawasaga InnOakville National Fitness - BUSINESS CLOSEDPeach King CentrePeterborough YMCAPickering Rec CentreQueen's Athletics & Recreation Centre (ARC)RA CentreRiver Oaks Community CentreSoloway JCCSt. Catherines YMCAWhite Oaks Resort DOB (YYYY/MM/DD) * / / Racquetball Ontario Annual MembershipYouthsAdults GOLD Membership - National + Provincial Membership$35$35 SILVER Membership - Local + Provincial Membership$7$20 BRONZE Membership - Coach/Official$15$15 BRONZE Membership - Non-tournament Recreational$15$15 GOLD memberships are for players at national events (juniors, seniors and selection events). SILVER memberships are for players at provincial events (even other provinces) but who do not participate in national events. BRONZE memberships are for officials, coaches, and recreational players not participating in tournaments. Primary Membership Role Select...GOLD MembershipSILVER MembershipSILVER Membership (j)BRONZE Membership - Coach/OfficialBRONZE Membership - Non-tournament RecreationalBRONZE Membership - Coach (non-player)BRONZE Membership - Official (non-player)BRONZE Membership - Associate [deprecated]RC Competitive Membership – Local + Provincial Recreational Membership [deprecated] No events available. Category Select category…Age 1-12Age 13-18Age 19-54Age 55+ No categories available for this age. Are you sure you need a Gold National membership? A Silver membership is all that is required to play in most tournaments. *Select…okay Member Contact Information Address * Address 2 City * Province *Select…AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuébecSaskatchewanYukon Postal Code * Email * Best phone number to reach you * I agree to receive email communication from Racquetball Canada and Racquetball Ontario related to information about news, events and opportunities for me to be engaged in the sport. I can opt out of this communication at any time. Racquetball Canada and Racquetball Ontario do not share or sell any private information. *Select…yesno Additional InformationSport Canada would like to know a few things about you. Para-athleteSelect…noyes IndigenousSelect…NoneFirst NationsInuitMétis New CanadianSelect…noyes Coach Specific Information NCCP # Criminal Record Check (Submitted Date) Criminal Record Check (Completed Date) Criminal Record Check (Expiry Date) Respect in Sport Certification # Official Specific Information Official Level Official Level date achieved Emergency Contact Information Emergency Contact Name * Emergency Contact Phone * Emergency Contact Email Parent/Guardian Information Parent/Guardian Name * Parent/Guardian Phone * Parent/Guardian Email * Before clicking the "PROCEED TO STEP 2" button make sure to input ALL registrant data first. To switch between different registrants you can click on their name to the left of the registration form or if a name is not assigned yet click on "(+) BLANK ENTRY" to open a blank form. PROCEED TO STEP 2 ADD ANOTHER REGISTRANT
