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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
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* Indicates required question
Email
*
Your email
Are you a new or returning member?
*
New
Returning
Applying for full or one-day membership?
*
Full
One-day
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?
*
Yes
No
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Province
*
Choose
NS
NB
PE
NL
ON
QC
MB
SK
AB
BC
NU
NT
YT
Next-of-kin/Emergency Contact Information (please provide a name and telephone number)
*
Your answer
Interest (indicate as many as you want)
*
Everything!
Navigational Rally
RallyCross
Rally Sprint / Performance Rally
Race
Autoslalom
Lapping / Time Attack
Volunteering (drop an email to
chiefmarshall@bluenoseautosport.ca
)
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/
)
*
I agree
Required
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