Company Membership Form Membership Type Membership Type New Member Renewing Member BC Athletics Membership Please note that as a registered club with BC Athletics, the purchase of a BC Athletics Membership is required for all individuals wishing to join the Speed Squad. Please visit the BC Athletics website for membership information. Select all types that apply * Athlete Coach Non-Competitive Speed Squad Membership Year membership starts from September to June (9-months). Please visit our membership page to learn more about what it means to be apart of the Speed Squad. Select all types that apply * One Year Membership Price: $25.00 Private One-on-One Coaching 8 sessions x $50=$400 BC Athletics Total BC Athletics Membership: $ Speed Squad Total Speed Squad Membership: $ Grand Total Grand Total: $ Member Information First Name * Middle Initial Last Name * Birth date * Gender Male Female Aboriginal Yes No Primary Email * Secondary Email Address * Address 2 City * Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal Code * Home Phone Mobile Phone Parent/Guardian Information *required for those under the age of 19 First Name Last Name Phone Number Email I have read, understood and agree to the Safety / Acknowledgement of Risk * I have read, understood and agree to the BC Athletics Privacy Policy * I have read, understood and agree to the Canadian Anti-Doping Program (CADP) *
