Peterborough Curling Club
2195 Lansdowne St. W., Peterborough, Ontario K9J 0G5 705-745-8252
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REGISTRATION FORM FOR THE 2017-2018 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 PCC administration. Only my name and phone numbers will be listed in the membership directory and/or website for general member use. This information is intended for the sole use of PCC and its members and will not be shared outside the Club.

By giving my email address, I consent to receiving e-mail communications from PCC (if I do not wish to receive email communications, I can change the setting in My Profile)


Injury Waiver: **

In consideration of acceptance of this registration by Peterborough Curling Club ("PCC"), I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE PCC 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 at PCC, that has not been contributed to or occasioned by any negligent act, by omission or commission, of any of the aforesaid.


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 ($425.00 - Includes HST + OCA Fees + Capital Fund Fee(formerly Debt Reduction Fee))

Adult Unlimited Membership ($600.00 - Includes HST + OCA Fees + Capital Fund Fee(formerly Debt Reduction Fee))

New Member 1 League Membership ($355.00 - Includes HST + OCA Fees + Capital Fund Fee(formerly Debt Reduction Fee)) 

New Member Unlimited Membership ($500.00 - Includes HST + OCA Fees + Capital Fund Fee(formerly Debt Reduction Fee))

Junior 1 League Membership ($120.00 - Includes HST + OCA Fees) 

Junior Unlimited Membership ($200.00 - Includes HST + OCA Fees)

Student 1 League Membership ($310.00 - Includes HST + OCA Fees) 

Student Unlimited Membership ($425.00 - Includes HST + OCA Fees)

Learn To Curl Membership ($250.00 - Includes HST)

Adult Half Year 1 League Membership ($260.00 - Includes HST + OCA Fees + Capital Fund Fee(formerly Debt Reduction Fee)) 

Adult Half Year Unlimited Membership ($365.00 - Includes HST + OCA Fees + Capital Fund Fee(formerly Debt Reduction Fee)) 

League Curling

Curling Member - select your appropriate Membership Fee level from the drop down list below and indicate which Leagues you would like to participate in.

Ladies Draw Entry - Tuesday 9:15 am*         *some Tuesday draw games and Thursday team entry games are played on Tuesday at 12:30 pm

NOTE:  When Registering - Please check Ladies Section Fee under Additional Registration Options below.  

Ladies Team Entry - Thursdays 9:15 am        *some Tuesday draw games and Thursday team entry games are played on Tuesday at 12:30 pm

NOTE: When Registering - Please check Ladies Section Fee under Additional Registration Options below. 

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

Senior Mens Tag - Mon. 9:45 am,   Wed. 10:30 am,    Fri. 10:30 am  (Please enter desired day(s) in notes.)      

NOTE:  When Registering - Please check Senior Mens Section Fee  under Additional Registration Options below.  

Please place name tag on draw board table 15 minutes before draw time. There is no age restriction for Senior Men’s curling.

Notes for Convenor (Senior Mens Tag): 

Senior Mens Team Entry - Monday 12:30 pm & 3:00 pm 

NOTE: When Registering -  Please check Senior Mens Section Fee  under Additional Registration Options below. 

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

Business Women  - Monday  6:30 pm & 8:45 pm  Section Fee $20.00

NOTE: When Registering - Please indicate preferred position in the Convenor Notes.

Notes for Convenor (Business Women ): 

Men - Monday  6:30 pm & 8:45 pm   Section Fee $40.00

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

Men - Tuesday 6:15 pm & 8:30 pm   Section Fee $40.00

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

Open Team Entry - Wednesday 6:30 pm & 8:45 pm  Section Fee $30.00

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

Learn to Curl Thursday 6:30 pm - 8:00 pm  $250 (includes HST)

Friday Afternoon Mixed - Friday 2:00 pm & 4:15 pm     Section Fee $25.00

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

Friday Evening Mixed - Friday  6:45 pm & 9:00 pm  Section Fee $25.00

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

Junior - Sunday 10:30 am to 12:30 pm Section Fee $25.00

Notes for Convenor (Sunday Junior): 

Open Tag - Sunday 1:30 pm - 3:30pm     Section Fee $20.00

Note:  Please place name tag on draw board table 15 minutes before draw time. 


Special Membership Options

Social Member  ($59.29 + HST) (no curling privileges)

Practice Member ($59.29 + HST)  (no league play) 

Locker Member ($25.00 )  (no curling privileges) 

Parachute Member ($50.00 includes HST + OCA Fees) (no curling privileges)


Additional Registration Options


 

Ladies Section Fee - $25.00 for both Draw and Team Entry leagues.

Senior Mens Section Fee - $20.00 for both Draw and Team Entry leagues.

Locker  Fee  - $25.00 Current members who have a locker, please enter your locker number on your Member/Profile/other page. (and SAVE)

For New members see Locker Number Profile / Other Information:   (below) . If you want have a locker, enter "999" or  if you don't want a locker enter "00" (zero zero).



Profile / Other Information:

Locker Number   


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.

PAYMENT: You can now pay online with your credit card or arrange payment through the office by calling 705-745-8252 ext. 2.  When it is received, you will be sent an e-mail activating your membership.  Thank you.



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