BAC Membership Form
**Please note: Your membership is not valid until payment is received**
$30 each (or $20 for family member in same household)
$5 for one day membership (new members only - can upgrade to full membership by paying the remainder of the fee later)
Membership expires December 31st of each year
Sign in to Google to save your progress. Learn more
Email *
Are you a new or returning member? *
Applying for full or one-day membership? *
Multiple members in a household
Each person must fill out the online form, but only the first person needs to pay the full cost membership amount. Each other household member only needs to pay $20.
Are you the first member of your household to purchase a membership? *
First Name *
Last Name *
Phone Number *
Street Address *
City *
Province *
Next-of-kin/Emergency Contact Information (please provide a name and telephone number) *
Interest (indicate as many as you want) *
Required
BY COMPLETING THIS MEMBERSHIP APPLICATION, YOU AGREE TO BE BOUND BY THE RULES AND REGULATIONS OF BLUENOSE AUTOSPORT CLUB AND ATLANTIC REGION MOTOR SPORTS INC.
Before participating in an event, whether competing, volunteering or spectating, you will sign the Speedwaiver for the corresponding event host club. (The Speedwaiver for BAC events can be found here: https://www.bluenoseautosport.ca/documentation/ )
*
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bluenose AutoSport Club.

Does this form look suspicious? Report