Online Membership Application Form

To subscribe to the Cornwall MultiSport Membership using EventsOnline.ca please follow these steps:

  1. Type your name and other information into the form below and click on the submit button.
  2. Use your Visa or Mastercard credit card to pay for your entry. The transaction will be processed securely in Canadian dollars.
  3. Once you have successfully paid for your entry your information will automatically be added to the event database and the the Eventsonline.ca confirmation page for the event will be updated. Depending on your Internet connection, this process may take about 16 seconds. During this time do not click your Browser's back button or stop button.
Membership Type Until Dec. 31, 2009 Jan. 1 to Dec. 31, 2010
Individual $35 $40
Family $70 $80
  • For more information visit: www.cornwallmultisportclub.com
  • Price listed above does not include online fee.
  • Membership is valid for the 2010 Calendar Year.
  • No refunds for any reason will be provided.

MANDATORY FIELD/CHAMP OBLIGATOIRE = *

*Membership Type: Individual
Family
*Last Name:
*First Name:
*Address/Adresse:
*City/Ville:
*Province:
*Postal code/Code Postal:
*Telephone Work:
*Telephone Home:
*Email address/Courriel:
*Date of Birth:
Date de Naissance Year           Month:                  Day
*Gender:
  • Male
  • Female
How many years have you been a member of the Cornwall Multisport Club?
Receive Email Newsletter:
 
List additional family members (at the same address) who also want to join the Cornwall Multisport Club as part of a $70.00 family membership. 

Note: Children under the age of 14 must be accompanied by an adult at all club events and training.

Name Birthdate (Year/Month/Day) Gender
M F
M F
M F
M F
M F
 

WAIVER/RENONCIATION:

I/we acknowledge that the Cornwall Multisport Club are not insurers, that the potential claims, losses, damages and expenses arising out of my/our participation in the activities of the club may be great in proportion to the fees I/we have paid to the club and that it is not reasonable for the club to assume the risk of liability that may have incurred in connection with such activities. Accordingly, in consideration of the acceptance of my-our application for membership in the club, and notwithstanding any statute or rule of law to the contrary, I/we shall indemnify the club, its officers, directors, employees and agents from and against all claims, losses damages and expenses (including legal expenses on a solicitor and his/her own client basis), arising out of or relating to my/our taking part or being connected to any activity of the club, even if caused by the negligence, gross negligence, or other fault of the club, its officers, directors, employees or agents. This indemnity shall be binding on my/our heirs, executors and assigns. I/we warrant being at least 18 years of age, physically fit to participate in Cornwall Multisport Club activities and I/we shall heed all traffic laws while training with the club. Members under the age of 18 must have consent to the above waiver.

Personal information is collected for the purpose of maintaining a record of membership for the club. Name, address, phone number and email address are to be used for communication of club information and activities. The Cornwall Multisport Club does not provide this information to any other organization or provider of services. Date of birth and gender are provided to ensure appropriate age and gender categories for road racing events.

Check this tick box to agree to the waiver:
 *