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Brampton Curling Club

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REGISTRATION FORM FOR THE 2019 CURLING SEASON


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: **


Injury Waiver: **


Registration Selection: **

STEP 1: Select the membership type first by checking the appropriate round checkbox.

STEP 2: 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.

STEP 3: Please enter all team member names (first and last name) for Choose Your Own leagues; each team member must submit their own registration. We do accept individual and partial teams for Choose Your Own leagues with the convenor creating a team for you. Not on a full team? Write “assign” in the empty positions.

No CYO team is guaranteed their spot unless:

  1. At least 3 team members from last year are on the returning team
  2. 4 team members have registered and fully paid by August 28, 2019 

For a partial year membership you must contact the Club Administrator (Jacquie Hoffer) for the calculation of your partial year rate. All membership fees and services are taxable.

League Curling

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Player One: ** 
Player Two: ** 

Special Membership Options


Additional Registration Options


Registration Discount Options



Profile / Other Information:

Coaching Level   

OCA Official   


Registration Accuracy Confirmation: **



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