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