Gravenhurst Curling Club

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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 the Gravenhurst Curling Club administration. Only my name and phone/email address will be listed in the membership directory and/or website for general member use. This information is intended for the sole use of the Gravenhurst Curling Club and will not be shared outside the Curling Club.


Injury Waiver: **

In consideration of acceptance of this registration by the Gravenhurst 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 activities, 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 appropriate round checkbox. Then choose a Membersip Fee option from the drop down box. Then make your league selections. Please check all the square checkboxes for the leagues in which you wish to play to match your Fee option. For CYOR, please show all team member names, each team member must submit their own form. Please note the Fees listed include an OCA/Curl Canada Fee of $17.88 plus a Capital Fund levy of $50.00 plus 13% HST.

League Curling

Adult and Young Adult (18-25) club member

Monday Morning Men's league 9:30am
           preferred position >

Notes for Convenor (Mon Men's league 9:30am): 

Choose your own competitive Rink, Enter as a team Monday 7:00pm
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Tuesday pm  Mixed 1:00pm
      preferred position >  Notes for Convenor (Tues Mixed 1:00pm): 

Tuesday eve Mixed 7:00 pm
       preferred position > Notes for Convenor (Tues Mixed 7:00pm): 

Wednesday Women's League 5:00pm
          preferred position >  Notes for Convenor (Wed Women's league 5:00pm): 

Wednesday Men's  League 7:30pm
         preferred position >  Notes for Convenor (Wed. Men's league 7:30pm): 

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

Muskoka Grand Masters Men's Intertown League Age 70+
League  Full Please see Convener existing teams only

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

Muskoka Masters Men's Intertown league
 League Full please see Convener, existing teams only

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

Friday eve Mixed 6:30pm & 8:30pm
       preferred position >

Notes for Convenor (Fri Mixed league 6:30pm): 

Special Membership Options

 Social member non curler $30.00

Additional Registration Options

Your payment options are;  
  1. email money transfer to registrar@gravenhurstcurlingclub.com using 'Hammer' as the password
  2. deliver a cheque to Rick McGuire
  3. drop your cheque off to Gravenhurst branch of Scotiabank. 

 

Use of locker for the season. $22.60 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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