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2195 Lansdowne St. W., Peterborough, Ontario K9J 0G5 705-745-8252
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REGISTRATION FORM FOR THE 2019-2020 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: **

  • Select your Membership Type (Curling Member, Social Member, Practice Member, Locker Member)
  • Select your Membership Fee level from the drop down list (if Curling Member)
  • Select the Leagues you would like to play in. 
  • Enter any information the League may require. For Team entry leagues please show all team member names, each team member must submit their own form. If you do not have a team, enter your name in the position you would like to play and ASSIGN for the other team members, and you will be placed on a Team.

Membership Fee Breakdown

Adult 1 League Membership ($445.00 - Includes HST + OCA Fees)

Adult Unlimited Membership ($625.00 - Includes HST + OCA Fees)

New Member 1 League Membership ($375.00 - Includes HST + OCA Fees) 

New Member Unlimited Membership ($520.00 - Includes HST + OCA Fees)

Junior 1 League Membership ($125.00 - Includes HST + OCA Fees) 

Junior Unlimited Membership ($205.00 - Includes HST + OCA Fees)

Student 1 League Membership ($340.00 - Includes HST + OCA Fees) 

Student Unlimited Membership ($460.00 - Includes HST + OCA Fees)

Learn To Curl Membership ($285.00 - Includes HST)

Adult Half Year 1 League Membership ($270.00 - Includes HST + OCA Fees) 

Adult Half Year Unlimited Membership ($385.00 - Includes HST + OCA Fees) 

League Curling

Notes for League Admin (Ladies Draw): 

Notes for League Admin (Ladies Team ): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Notes for League Admin (Senior Mens Tag): 

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

Notes for League Admin (Business Women ): 

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

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

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

Notes for League Admin (Fri Afternoon Mixed): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

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

Notes for League Admin (Sunday Junior): 


Special Membership Options


Additional Registration Options


 



Profile / Other Information:

Locker Number   


Registration Accuracy Confirmation: **



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