Beep Ball Clubs of Washington State Registration Form
Please fill out this form with the most accurate information. This Information stays with us. We do not share your information.
Suite / Apartment Number
Primary Email Address
Alternative Email Address
Emergency Contact Name
Emergency Contact Relationship
Parent / Guardian
Emergency Contact Phone Number
Emergency Contact E-Mail Address
Medical Information (Optional)
This information is optional, It just helps the coaches and people that need to know how to help you. "Example : if you are having low blood sugar. they come get sugar or something to get our blood sugar under control."
Medical Conditions "Check all that apply"
High Blood Pressure
Washington State Council of the Blind Member
I want to be a member
What Chapter of the WCB are you a Member of
Not a Member
Beep Ball Clubs of Washington State
Capital City Council of the Blind
Greater Everett Area Council of the Blind
Guide Dog Users of Washington State
Jefferson County Council of the Blind
King County Chapter
Peninsula Council of the Blind
Pierce County Association of the Blind
Skagit and Island Counties Council of the Blind (SICCB)
South King Council of the Blind
South Kitsap Council of the Blind
United Blind of Seattle
United Blind of Spokane
United Blind of Tri-Cities, Inc.
United Blind of Walla Walla
United Blind of Whatcom County
Wenatchee Valley Council of the Blind
Yakima Valley Council of the Blind
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