Dawson Creek Curling Club
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REGISTRATION FORM FOR THE 2017-18 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.  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 may be used to regularly communicate; emergency contacts only used as necessary in the event of an emergency.


Injury Waiver: **

In consideration of acceptance of this registration by 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 Club, that has not been contributed to or occasioned by any negligent act, by omission or commission, of any of the aforesaid.


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

CIRCLE YOUR CHOICE:

Regular Adult Member - base $110 + $150/league unless otherwise noted below

Senior Member (60+ years old) - base $110 + $90/league unless otherwise noted below

Junior "Club" Member (U21) - base $60 + $37.50/league unless otherwise noted below

"Learn-to-Curl" or "Advanced Skills" - no base fee, session fees only as noted below

Doubles ONLY - base $30 + $50

Elementary Member ONLY - all-inclusive $25 

NEW December "Intro to Curling" 3-week program:  Monday or Wednesday options 6:30 pm.  Designed for new players, all ages and genders.  $40 include all instruction and gear.  Participants only need clean footwear & stretch clothing.

NEW The 8-week "Advanced Skills" Winter Season - Mon/Wed options, 6:30pm.  Second Half League (mid Jan to mid March inclusive) ($100).  Min 8 sessions total.  A combo event - specific skill-based training and mini-games each night.  Suitable to curlers wanting to increase their skills, those returning from a long absence or those wanting to try the game w/o a full season commitment.

NEW Doubles and Dinner every 2nd Friday - ($50 per season not incl meals once/month).  Enjoy it as a couple, father/son, mother/daughter or any other combo; a night out with a great meal and great friends!  You RSVP the dinner once/month.   Mixed Doubles rules but any gender is acceptable.  Tentative schedule includes Dec 1 & 15; Jan 5 & 19; Feb 2 & 16; Mar 2 & 16.

Notes for Convenor (Dinner & Doubles): 

Elementary Thursdays from 3:30 to 4:45pm.  $25 all-inclusive.  This is the Dawson Creek & Area Elementary School League.  Organized by convenors through each elementary school.  Grades 7 or younger.  Usually 3 youths and an older mentor at lead.  Season runs November to mid February.

Junior Club - Mondays @ 4:30pm.  Junior League.  A club league with instruction.  Players must be under 21, although most are between 11 and 16 years old.  Suggested minimum age is 8.

Notes for Convenor (Juniors): 

Commercial League - Mondays @ 7:00pm.  Open format - any gender mix.

Notes for Convenor (Commercial League): 

Super League - Mondays @ 7:00pm.  More competitive, open to any ages/genders.  Regular dues apply, plus teams contribute ($1000) to the prize pool.  Payouts per win.

Notes for Convenor (Super League): 

Seniors - Tuesdays @ 1:00pm and Thursdays @ 10:00am.  Drop-in format, teams selected at start of each session.  A great mixer.

Mixed League - Tuesdays, 7:00pm.  Traditional mixed curling league with alternating genders at 3rd and skip.  All ages/skills.

Notes for Convenor (Mixed League): 

Ladies League - Wednesdays @ 6:30pm.  Traditional ladies league, all ages/skills.

Notes for Convenor (Ladies League): 

Mens League - Thursdays @ 7:00.  Traditional mens league, all ages/skills.  Could be two draws/nightly or occasional overflow to another weeknight if numbers warrant it.

Notes for Convenor (Mens League): 

Special Membership Options

Practice Ice Member ($110)

Registered Spare ($110 membership) - first three games free, $10/each spare fee after that

Social Member ($50) - no ice privileges.  Includes pickleball members commencing summer 2016.


Additional Registration Options

Locker Rental Fee (+$30) - add locker number ________________


Registration Discount Options

Check ALL that apply

Adult playing in 2 full year leagues - does not include Sr or Jr members - can't include learn-to-curl, advanced skills or doubles (-$37.50)

Adult playing in 3 full leagues - does not include Sr or Jr members - can't include learn-to-curl, advanced skills or doubles (-$75.00)

Adult playing in 4 or more full year leagues - does not include Sr or Jr members - can't include learn-to-curl, advanced skills or doubles (-$112.50)

Lifetime Member Discount (-$110)



Profile / Other Information:

CONTACT DETAILS CHANGED?    Yes No


Registration Accuracy Confirmation: **

Certifying true and accurate information.

I also understand that the Dawson Creek Curling Club is a member owned and operated club. I  understand that in order to keep our rates at a minimum it is required of every member to volunteer in some capacity.  I make that commitment and have completed an associated knowledge, skills and abilities assessment (KSA).  If my KSA was previously submitted, I certify its validity.

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 deadline. Cheques may be post dated to December 15, 2017.

My membership entry and the associated cheque must be received by the club no later than December 15, 2017.  If my registration and/or cheque has not been received by Dec. 15, 2017, a $50.00 late fee will be applied.

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

 

 

Signature __________________________________________________________



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