Application

Name *

First

Last

Have you been vaccinated? against COVID-19 *

YES - I am fully vaccinated and able to provide a verifiable Government QR Code as proof to that effect. I have no protection against the Coronavirus.

Choose One *

I’m a Canadian Citizen A Permanent Resident Commonwealth Citizen

Daytime Mobile Number *

Upload a Current Photo so we’ll recognize you *

Max file size: 20MB

# years playing? *

Your Cube Knowledge? *

CUBE? Learning Strong

*Applications are subject to approval.

CANADIAN BACKGAMMON FEDERATION®

Membership Application