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Kimberley Curling Club

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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: **

Instructions for Creating Your Own Team for Tuesday, Wednesday or Thursday evening leagues only.

Skips - Please enter the first and last names of all members of  your team. If you have a vacancy, enter "assign" in the vacant position.

          Others - Please enter an "X" in all position fields.

Not yet on a team? Enter your name in the position or positions you prefer to play. Enter "X" in other positions. This will help the League Co-ordinatior match you up with a team.

League Curling

Notes for League Admin (Q1): 

Notes for League Admin (Q2): 

Notes for League Admin (Q3): 

Notes for League Admin (Q4): 

Notes for League Admin (Mon - 1st Half): 

Notes for League Admin (Mon - 2nd Half): 

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

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

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

Player One: ** 
Player Two: ** 

Player One: ** 
Player Two: ** 

Notes for League Admin (Spare or Team Extra Only): 

 

 


Additional Registration Options

Please review the following - Additional charges apply:

 


Registration Discount Options

Extra Player: 

If you are an extra on a team with 4 registered players then the $15 Spare / Extra fee is waived when you select that option.

CurlBC Member:

If CurlBC dues paid through another BC curling club, KCC Registration Fee reduced by $20 (Subject to verification with your home club)



Profile / Other Information:

Home Club (if not Kimberley)   


Registration Accuracy Confirmation: **



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