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REGISTRATION FORM FOR THE 2018-2019 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 by the Curling Club administration. Only my name, phone numbers and email address will be listed in the membership directory and/or website for general member use. This information is intended for the sole use of Curling Club and will not be shared outside the Curling Club.


Injury Waiver: **

In consideration of acceptance of this registration by Curling Club ("the 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 Curling Club, that has not been contributed to or occasioned by any negligent act, by omission or commission, of any of the aforesaid.


Registration Selection: **

Select the membership type first by checking on the appropriate round checkbox. From the drop down menu, select the appropriate fee.  If registering for a membership type that also has league selections please check all the square checkboxes for the leagues in which you wish to play. Please show all team member names for "choose your own" leagues, but each team member must submit their own form. Not on a team? Write assign for the other team members.

League Curling

Adult Memberships
Fees are calculated based on the number of schedules/draws that you sign up for.  One draw only $111.20; Two draws only $215.00; All three draws $248.60 Unlimited curling in each draw. 
New members (new to curling or new to the Wiarton & District Curling Club) pay only $73.45 for unlimited curling in your first year. Choose the "New Member" discount at the bottom of the registration form.

Women's Morning, Draw 1, Tuesdays, 9:30 AM, beginning November 6, 7 weeks Notes for League Admin (Tuesday Women's Morning, Draw 1): 

Women's Morning, Draw 2, Tuesdays, 9:30 AM, beginning January 8, 6 weeks

Women's Morning, Draw 3, Tuesdays, 9:30 AM, beginning February 19, 6 weeks

Women's Evening, Draw 1, Wednesdays, 7:00 PM, beginning November 7, 7 weeks Notes for League Admin (Wednesday Women's Evening, Draw 1): 

Women's Evening, Draw 2, Wednesdays, 7:00 PM, beginning January 2, 7 weeks

Women's Evening, Draw 3, Wednesdays, 7:00 PM, beginning February 20, 6 weeks

Men's Evening, Draw 1, Tuesdays, 7:30 PM, beginning November 6, 7 weeks 

In the League Admin Notes, please indicate your preferred curling position. 

Notes for League Admin (Tuesday Men's Evening, Draw 1): 

Men's Evening, Draw 2, Tuesdays, 7:30 PM, beginning January 8, 6 weeks

Men's Evening, Draw 3, Tuesdays, 7:30 PM, beginning February 19, 6 weeks

Skips' Choice, Draw 1, Mondays, 7:30 PM, beginning November 5, 7 weeks
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skips' Choice, Draw 2, Mondays, 7:30 PM, beginning January 7, 6 weeks
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skips' Choice, Draw 3, Mondays, 7:30 PM, beginning February 18, 6 weeks
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Mixed Afternoon, Draw 1, Fridays, 1:30 PM, beginning November 9, 7 weeks

Mixed Afternoon, Draw 2, Fridays, 1:30 PM, beginning January 4, 7 weeks

Mixed Afternoon, Draw 3, Fridays, 1:30 PM, beginning February 22, 6 weeks

Mixed Evening, Draw 1, Fridays, 7:00 and/or 8:30 PM, beginning November 9, 7 weeks

In the League Admin Notes, please indicate the names of who you would like to curl with. 

Notes for League Admin (Friday Mixed Evening, Draw 1): 

Mixed Evening, Draw 2, Fridays, 7:00 and/or 8:30 PM, beginning January 4, 7 weeks

Mixed Evening, Draw 3, Fridays, 7:00 and/or 8:30 PM, beginning February 22, 6 weeks

Mixed Doubles Afternoon, Draw 1, Thursdays, 1:30 PM, starting November 8, 7 weeks

Player One: ** 
Player Two: ** 

Mixed Doubles Afternoon, Draw 2, Thursdays, 1:30 PM, beginning January 3, 7 weeks
Player One: ** 
Player Two: ** 

Mixed Doubles Afternoon, Draw 3, Thursdays, 1:30 PM, beginning February 21, 6 weeks
Player One: ** 
Player Two: ** 

Mixed Doubles Evening, Draw 1, Thursdays, 7:30 PM, beginning November 8, 7 weeks 

 

Player One: ** 
Player Two: ** 

Mixed Doubles Evening, Draw 2, Thursdays, 7:30 PM, beginning January 3, 7 weeks
Player One: ** 
Player Two: ** 

Mixed Doubles Evening, Draw 3, Thursdays, 7:30 PM, beginning February 21, 6 weeks
Player One: ** 
Player Two: ** 

 

Youth Curling

Little Rocks, ages 5 to 8 years of age, as of December 31, pay a fee of $37.50 for the season, Sundays 1:00-2:00 PM.  Choose "Little Rock" discount at the bottom of the registration form.  

Juniors, ages 9 to 13 years of age, as of December 31, pay a fee of $43.50 for the season, Sundays 2:00-4:00 PM.

High School league is for ages 14-18, Sunday afternoons, 4:00-6:00 PM, $43.50 for the season

Special Membership Options

Social

For those members who do not wish to curl, but would like to participate in other club activities, such as special dinners. 
The fee is $31.10.  Each special dinner or event has its own cost, which is not included in this fee. 

Additional Registration Options

Locker rental for the season. $15.00

Registration Discount Options

New Member - For beginner or experienced curlers new to Wiarton & District Curling Club.  Unlimited curling for the season. $73.45

Little Rocks - For ages 5 - 8,  pay only $37.50 for the season.


Profile / Other Information:

Preferred Curling Partners   

Preferred Curling Position(s)   


Registration Accuracy Confirmation: **

I hereby confirm that the information I have entered on this form is correct and true. Payment should be made by cheque (payable to "Wiarton & District Curling Club") or by e-transfer to treasurer@wiartoncurlingclub.com by October 26, 2018.  A separate "work" cheque of $100, dated for February 2, 2019 (or cash) is also required.  This is returned to you when you fulfill your volunteer duties. Cheques should be addressed to: Wiarton & District Curling Club, Box 248, 563 George St., Wiarton, ON N0H 2T0. 



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