Application Date:

CONTACT INFORMATION

(Only Name and Call Sign (if you have one) are mandatory; all other fields are optional.)

Call Sign
First and Last Names
Address Line 1
City / Municipality
Province / State
Postal Code / ZIP
Phone
Email
Emergency Contact – Name
Relationship to you
Emergency Contact – Phone

SIGNATURE

Signature
Date

SIGNATURE OF PARENT / GUARDIAN

(If applicant is under 18 years old)

Signature
Date

Special Note: Students not yet in Secondary School should be accompanied by a responsible adult at all BARC events.

2025 – 2026 Fee Schedule

Membership Type	Fee
Member of Radio Amateurs of Canada	$15.00
Not a Member of Radio Amateurs of Canada (Includes $14.00 RAC insurance)	$29.00