Online Membership Registration


Confirm your Family Information
Family Name *
Mother's Full Name
Father's Full Name
Address *
City *
Country
Postal Code *
Phone Number *
Cell Number
Email *
Language
 

Select Your Membership  
Family: $415    
Youth (14-19 years old): $140    
Adult: $190    
Senior (60+): $50    
Adult Couple (same address): $350    
Senior Couple (same address): $100    


Confirm Your Dependants
Name
 
Date Of Birth
(DD-MM-YYYY)
Relevant Medical Issues
 



CLICK HERE upload a New Family / Member Photo

Image File:  

Ideally the photo you upload should be no bigger than
800x600 pixels in size. Not to worry though,
if it's bigger we will shrink it down so it fits...







We need your help!
Many hands make light work, and we are looking for each member to volunteer.

Please check off where you can help:

       Help with the Beau Snack Shack
       Swim meets
       Special Events
       Accounting
       Maintenance
       Wednesday night BBQs
       Friday night BBQs


Permission to Publish

From time to time, photographs and/or video footage are taken of members. These materials may be used for internal communications (for example: on the bulletin board, and in the weekly newsletter) as well as for external communications (for example: advertising materials and the pool's website). I authorize Beaurepaire Swimming Club to use my child's/children's names, photographs, video footage and educational projects in publications, including all media types, for internal and external communications.

Payment Options

Pay By CheckOnce you submit your registration we will send you a confirmation code by email that you we ask you to include with your check.

Please bring your cheque to Registration Day on May 11th, from 7-9 PM at the Beaconsfield Recreation Centre,
or drop it off at : 110 LAKEVIEW BLVD., BEACONSFIELD (QC) H9W 4R8.