Note that I am a Life Member of USBA, and am assisting them with these initial web postings, but am otherwise not associated with the organization. Please consider joining NOW!
Stan Bischof USBA # L106
United States Badminton Association
One Olympic Plaza
Colorado Springs, CO 80909
(719) 578-4808
FAX: (719) 578-4507
Name: ____________________________________________________________
Address: _________________________________________________________
City: _______________________ State: ___________ Zip: _________
Home Phone: ( ) _________ School/Work Phone: ( ) ___________
Club/ School: ____________________________________________________
Birthdate: _______________ US Citizen? Y N Sex? M F
Please check membership type desired:
1. Regular (age 19 and older ) $20
2. Junior (age 18 and under ) $10
3. Recreational $5
4. Life $500 In addition to my
membership fee, I am
5. Family $35 enclosing a tax-deductible
contribution to help
$ _____ ----- promote badminton in
the US or to help
distribute badminton
information electronically.
TOTAL: $ ___________
Please make checks payable to: United States Badminton Association
Charge my membership to: VISA Mastercard American Express Discover
(please check one)
Card #: _________________ Expiration Date: _______________
Signature of card holder: ______________________________
RELEASE FORM - MUST SIGN
In consideration of my application for membership in the United States
Badminton Association, I hereby freely agree to and make the following
contractual representations and agreements.
I fully realize the dangers of participating in a strenous athletic activity
such as badminton, and fully assume the risks associated with such
participation.
I hereby waive, release and discharge for myself, my heirs, executors,
administrators, legal representitives, and successors in interest,
any and all rights and claims which I have or which may hereafter accrue
to me against the United States Badminton Association, its personnel, or
its representatives, for any and all damages which may be sustained by
myself either directly or indirectly in connection with, or arising from,
my participation in or association with the sport of badminton.
Signature: _________________________________ Date: ______________
Parent or Guardian of a Minor: I, as a parent or legal guardian of the
above named minor, hereby give my permission for my child or ward to
participate in the sport of badminton and further agree, individually
and on behalf of my child or ward, to the terms listed above.
Name of Parent or Guardian: _____________________________________
(please print)
Signature: _________________________________ Date: ______________
There is a $20 service charge for any returned checks
FAMILY MEMBERSHIP
Please complete the front side of this application for one
of the adult members of the family. All publications will
be sent to this person. Please complete the following for
each family member.
In consideration of my application for membership in the United States
Badminton Association, I hereby freely agree to and make the following
contractual representations and agreements.
I fully realize the dangers of participating in a strenous athletic activity
such as badminton, and fully assume the risks associated with such
participation.
I hereby waive, release and discharge for myself, my heirs, executors,
administrators, legal representitives, and successors in interest,
any and all rights and claims which I have or which may hereafter accrue
to me against the United States Badminton Association, its personnel, or
its representatives, for any and all damages which may be sustained by
myself either directly or indirectly in connection with, or arising from,
my participation in or association with the sport of badminton.
Signature: _________________________________ Date: ______________
Parent or Guardian of a Minor: I, as a parent or legal guardian of the
above named minor, hereby give my permission for my child or ward to
participate in the sport of badminton and further agree, individually
and on behalf of my child or ward, to the terms listed above.
Name of Parent or Guardian: _____________________________________
(please print)
Signature: _________________________________ Date: ______________
(1)Name:
Birth Date:
Sex: M F
US Citizen: Y N
(2)Name:
Birth Date:
Sex: M F
US Citizen: Y N
(3)Name:
Birth Date:
Sex: M F
US Citizen: Y N
(4)Name:
Birth Date:
Sex: M F
US Citizen: Y N