Beer, Pizza & Curling Individual Jan 10

REGISTRATION FORM

Come on out and sign up as a single (no team entry) and we will make up teams Jan 10/26 Only

You get an intro lesson, 6-ends of curling, beer, and pizza on a Saturday Night. Space is limited, so register early. As all curlers say, HURRY HARD and Good Curling! We hope to see you there! Please dress warmly and CARRY IN a clean pair of running shoes. If you have never curled please arrive by 7:30pm for a quick instructional lesson."

You must sign up as an individual and pay at time of registration. Fill in a name and position and if there is anyone else you would like to curl with in the additional notes box.

Required fields are marked with **

Contact Details

First Name: **

Surname: **

Address: **

City: **

Prov/State: **

Postal Code: **

Country: **

Primary Phone: **

Work Phone:

Extension:

Email: **

An email will be sent to this address with your registration confirmation details.

Re-enter Email: **

Participant Details

Entry Type: Individual Player ($25.00)
Enter Participant Name(s): Player: **
Additional Notes for Event Host:

Entry Requirements

I understand and confirm that my team meets the following entry requirements:

1. Individual registration only. You indicated your position (unless a new curler) and if there is someone else you would like to curl with.

2. Everyone on your team is over 19 years of age.

3. Payment is made at time of registration.

Check to indicate you have read and understood these requirements: **

Registration Instructions

Payment is required on line at time of registration or registration will be deleted. Please pay online using the [Pay Now] button displayed after you submit your entry
	Check to indicate you have read and understood these instructions: **