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Member Sign-up

REGISTRATION FORM FOR THE 2018-19 CURLING SEASON

STEP 1 OF 3: Enter registration details

Note that all required fields are marked with **


Enter Contact Details:

First Name: **
Middle Name:
Last Name: **
Gender: **
Address: **

City: **
Province/State: **
Postal/Zip Code: **
Country: **
Home Phone: **
Mobile Phone:
Work Phone:
Ext.:
Member Since: **
Years Curling Experience: **
Email:

Please enter your email address here. Email is the primary method used to communicate with our members and is only used for that purpose. If you do not have an email address please leave this field blank.

Re-enter Email:
Emergency Contact (If youth, enter parent): **
Emergency Contact Phone Number: **
Date of Birth: **
Youth members are required to enter their full date of birth including the year. If you want to take advantage of any available age discounts you must enter your full date of birth including the year.

Consent to Release Information, Privacy Policy and Anti-Spam Policy: **

I hereby consent to the use of the personal information provided above for publication in the Pardeeville Curling Club membership directory and / or website. This information is intended for the sole use of Pardeeville Curling Club members.


Injury Waiver: **

In consideration of acceptance of this registration by the curling club, I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE the club and each of its members, officers and employees FROM ANY AND ALL claims, demands, damages, costs, expenses, actions and cause of action, whether in law or equity in respect of death, injury, loss or damage to myself or property, arising or to arise by reason of my participation in the club excluding any negligent act, whether by omission or commission of any of the aforesaid persons, parties or entities.


Registration Selection: **

1) Please include all your team member's names on the League Registration portion of the form, however each team member must submit their own form.

2) Choose all the leagues in which you wish to play. Don't have a team yet? Write "assign" for the other team member names on the form and we will find you a team.

3) Teams must be registered by the start date for each league and all dues must be paid by December 30th, or teams will be forced to forfeit.  

4) All leagues will start curling in November (see league pages or email from league coordinators for more information).

League Curling

LEAGUE PLAYING DUES- For all curling participating in one or more leagues. 

Men's Supper League- Mondays. 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Men's 7pm League- Mondays.   
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Open Doubles League- Tuesday.  

Player One: ** 
Player Two: ** 

Open Mixed League- Wednesday.
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Open Mixed League- Thursday.
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Special Membership Options

SUB DUES- For members only planning to sub for a league.  Subs can participate in more than one league, when you set up your profile you can designate which nights you are available.      

Additional Registration Options

20 oz. Glass Beer Mug with Pardeeville Curling Club Logo.  You can personalize your mug with your name or nickname on the backside (will be etched in like the logo).


Registration Accuracy Confirmation: **

I hereby confirm that the information I have entered on this form is correct and true. I understand that if I have intentionally entered false information in this form to receive discounts that do not apply to me there will be a $25 administration charge on top of the outstanding membership dues owed.



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