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Dawson Creek Curling Club

New Member Sign-up

REGISTRATION FORM FOR THE 2019-20 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: **

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.

League Curling

Notes for League Admin (Dinner & Doubles): 

Notes for League Admin (Juniors): 

Notes for League Admin (Commercial League): 

Notes for League Admin (Super League): 

Notes for League Admin (Mixed League): 

Notes for League Admin (Ladies League): 

Notes for League Admin (Mens League): 

Special Membership Options


Additional Registration Options


Registration Discount Options

Check ALL that apply



Profile / Other Information:

CONTACT DETAILS CHANGED?   


Registration Accuracy Confirmation: **



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