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Kimberley Curling Club

Member Sign-up

REGISTRATION FORM FOR THE 2018-2019 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 Kimberley Curling Club and affiliated curling associations. Your personal information will not be disclosed to any other thrid parties in accordance with the BC Personal Information Protection Act (PIPA).


Injury Waiver: **

In consideration of acceptance of this registration by 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 club excluding any negligent act, whether by omission or commission of any of the aforesaid persons, parties or entities.


Registration Selection: **

Instructions for Creating Your Own Team (Applies to 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.

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

League Curling

Adult Member

Daytimers 1st Qtr 1 spots available. 

Daytimers 2nd Qtr 12 spots available. 

Please enter your preferred position(s) in League Admin. Notes

Notes for League Admin (Q2): 

Daytimers 3rd Qtr 30 spots available. 

Please enter your preferred position(s) in League Admin. Notes

Notes for League Admin (Q3): 

Daytimers 4th Qtr 33 spots available. 

Please enter your preferred position(s) in League Admin. Notes

Notes for League Admin (Q4): 

Monday Social (Oct-Dec) - Closed

Monday Social (Jan-Mar) 26 spots available. 

Please enter your preferred position(s) in League Admin. Notes

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

Tuesday Open (Oct - Dec) 17 spots available. 

Tuesday Open (Jan - Mar) 21 spots available. 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Wednesday Mixed (Oct - Dec) - Closed to New Registrations

Wednesday Mixed (Jan - Mar) 1 spots available. 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Thursday Competitive Cash League (Oct - Dec) - Closed to new registrations

Thursday Competitive Cash League (Jan - Mar) 11 spots available. 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Friday Doubles (Oct - Dec)

18 spots available. 

Player One: ** 
Player Two: ** 

Friday Doubles (Jan. - Mar.) 16 spots available. 

Player One: ** 
Player Two: ** 

Spare Only

Please enter details (position or league preferences) in Admin Notes.

Notes for League Admin (Spare Only): 

 

Juniors

Over 13 League

Based on age as of 31 December 2018 

 

Under 13

 Under 13 League

 Based on age as of 31 December 2018 


Additional Registration Options

Thursday Cash League (Mandatory for Thursday Cash League Half-season Participants)

Prize Pool for Half Season Registration

Thursday Cash League (Mandatory for all full season Thursday Competitive Cash Leage participants)

Prize Pool - Full Season


Registration Discount Options

CurlBC Member: If you are already a member of another BC curling club we will waive the $25 KCC Registration Fee (Subject to verification with your home club)

 

Curl BC Member 

Currently registered with another CurlBC Club 

Single Evening League 

Discount for Full Year Registration ($15) 



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.



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