NEW BRUNSWICK RACQUETBALL ASSOCIATION

2005 - 2006

APPLICATION FORM

Individual Membership Includes:

* Membership in NBRA until August 31, 2006

* Eligibility and Reduced Entrance Fees for all NBRA Sanctioned Tournaments & Events

* Provincial and National Rankings * Access to all NBRA programs

* Newsletters *Liability and Injury Insurance

TO REGISTER, SEND FORM AND CHEQUE PAYABLE TO:                   NB Racquetball Association

MEMBERSHIP FEES - Juniors (under 18) $ 10.00                                     24 Baxter Street

                                         Adults                   $ 10.00                                    Lower Coverdale, NB, E1J 1B4

Please Print!!

NAME:                Male( ) Female ( )

ADDRESS:         

POSTAL CODE               DATE OF BIRTH:

TELEPHONE     (H):          (W):      

FAX #                           E-MAIL

ABORIGINAL ( )

How Long Have You Been Playing Racquetball:      

Skill Level - Circle One:  Open    A          B          C       D (Beginner)

PROGRAMS

                            * Coaching Clinics (Beginner, intermediate)

                            * Coaching Levels I & II NCCP

                            * Rules Clinics

                            * Referee/Officiating Clinics

                            * Recreational Player Program:

                                           - Fun, Friends and Fitness

                                           - Women's Programs

                                           - Skills Award Program

                            * Junior Development Program

                                           - Elite junior provincial team

                                           - Recreational junior lessons, camps, clinics

                            * Junior Tournaments

                            * Newsletters

                            * Posters / Brochures / Visual resources & more

We are always in need of volunteers - do you have any interest in helping out your association? Yes       No

If yes, what would you like to be involved in?