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 WELCOME to the DAWSON  CREEK  CURLING  CLUB

New Member Sign-up

REGISTRATION FORM FOR THE 2025-26 SEASON


Enter registration details

Note that all required fields are marked with **

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.

Waiver(s)

    In consideration of acceptance of this registration by the Dawson Creek Curling Club, I HEREBY confirm that I have read, understood, signed and submitted

    (1) either the Release of Liability, Waiver of Claims & Indemnity Agreement (for participants 19 and older) or the Informed Consent & Assumption of Risk Agreement (for participants 18 and under)

    or I confirm I will read, understand, sign and submit these documents before I curl.  

    These documents are available for review and printing at DCCC Waivers



Consent to Release Information, Privacy Policy and Anti-Spam Policy

    I hereby consent to the limited use of the personal information provided above.  Member name and phone numbers may be listed in the website membership directory.  Names and images of members may also be used in all forms of media.  Names, demographics and member status may be provided to parent provincial and/or national curling associations.   Email will be used to regularly communicate; emergency contacts only used as necessary in the event of an emergency.



Membership Selection Instructions

STEP 1: Select the membership type first (the round checkbox).

STEP 2: Then select league(s) (the square checkboxes).

STEP 3: Enter all team member names (if known) under Convenor Notes; each team member must submit their own form.

 

Membership Selections (with leagues)

Notes for League Manager (Juniors): 

Notes for League Manager (Commercial League): 

Notes for League Manager (Super League): 

Notes for League Manager (Mixed League): 

Notes for League Manager (Ladies League): 

Notes for League Manager (Mens League): 


Membership Selections (no leagues)



Additional Options


Discount Options

Check ALL that apply



Other Information
CONTACT DETAILS CHANGED?   


Confirmation

    Certifying true and accurate information.

    If I am not paid in full at the time of this registration, I will forward the amount owing to Dawson Creek Curling Club, PO Box 178, Dawson Creek, BC  V1G 4G3 on or before November 1, 2024.  If payment has not been received by Nov 1, 2025, a $50.00 late fee will be applied.

    To arrange an alternate payment schedule, if necessary, I will contact dccurl@shaw.ca or 250-782-4080.

     

    Signature __________________________________________________________