Gravenhurst Curling Club

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REGISTRATION FORM FOR THE 2016-2017 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 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 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 approproiate round checkbox. 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, each team member must submit their own form. Not on a team? Write assign for the other team members.

League Curling

Adult club member

Choose your own competitive Rink, Enter as a team Monday 7:00pm

MondayMorning Men's league 9:30am

Tuesday afternoon 1:00pm Mixed Curling

Tuesday evening Mixed League 7:00 pm

Wednesday eve Ladies 5:30pm league

Wednesday Men's  League 7:30pm

Tag Curling Thursday 1:00pm - Drop in and add your name tag.

Friday Mixed league 7:00pm Notes for Convenor (Fri Mixed league 7:00pm): 

Muskoka Grand Masters Men's Intertown League Age 70+

Muskoka Masters Men's Intertown league

 

Youth ages 7-19  

 

Youth Curling Tues 4 - 6pm. Includes Little Rocks,  Novice, Bantam, Junior

Special Membership Options

 Social member non curler

Junior Member 16 to 26 -playing in adult league

Additional Registration Options

Use of locker for the season. $20.00 You supply lock. Remove at season end.


Registration Accuracy Confirmation: **

I hereby confirm that the information I have entered on this form is correct and true to the best of my knowledge.



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