CCE Membership Application Form

2008-2009 Membership Form           

Please mail to: Brenda Den Hollander 43525 Lumsden Rd Chilliwack, BC V2R 4R4

Last Name

Postal Code

Address

Phone #

Email

Name

Birth Date

Sex

Signature

Date

Number

$ Amount

1

2

3

4

5

6

7

2008-2009  Family Membership Options

Number

Non Competitive Membership

1

Recreational / Repeated Use

$10

Competitive Membership (any athlete competing in an organized race)

2

Cub-cadet (atom)

Under 10 years as of January 1^st

$30

3

Cadet (peewee & bantam)

Under 14 years as of January 1^st

$30

4

Junior (midget & juvenile)

Under 18 years as of January 1^st

$60

5