埃德蒙顿聚龙篮球俱乐部会员申请表Edmonton Dragons Basketball Club (EDBC)membership application

无篮球不兄弟，是龙，我们就相聚！欢迎加入一个由篮球爱好者组成的非盈利性组织——埃德蒙顿聚龙篮球俱乐部！我们以球会友，本着弘扬中华文化为宗旨，为推广我们爱城的华人篮球运动而努力！

Q1:First name

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Q2:Last name

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Q3:中文名字

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Q4:性别 Gender

男 Male

女 Female

Q5:出生日期 Date of birth

日期

Q6:电子邮箱 E-mail

Q7:电话号码 Phone number

Q8:现在住址 Current address

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Q9:首选的打球时间 Preferred time

Sundays星期日 10am - 12pm

Sundays星期日 4pm - 6pm

Q10:紧急联系人姓名 Emergency Contact Name

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Q11:紧急联系人电话 Emergency Contact Phone Number

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Q12:紧急联系人与本人关系 Relationship withEmergency Contact

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Q13:紧急联系人地址 Emergency Contact Address

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Q14:注册协议 Registration Agreement

I have read,agreed and signed the Release, Waiver and Indemnity Form.

I have read the club bylaw and agree to abideby its regulations.

I have read the club policy and agree to abideby its regulations.

I grant to EDBC, its representative the right to take photographs of me and my property,and authorize EDBC to copyright, use and publish for any lawful purpose, includingpublicity, illustration, advertising and web content.

I have paid membership fee.

埃德蒙顿聚龙篮球俱乐部会员申请表Edmonton Dragons Basketball Club (EDBC)membership application

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