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Ayr Curling Club

New Member Sign-up

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: **

Select the membership type first by checking on the appropriate round checkbox. If needed, also select the appropriate membership fee for your membership. If registering for a membership type that also has league selections please check all the square checkboxes for the leagues in which you wish to play.

League Curling

Notes for League Admin (Monday Mens): 

Notes for League Admin (Mon Mixed Social): 

Notes for League Admin (Tuesday Ladies): 

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

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

Notes for League Admin (Thursday Mixed Social): 

Notes for League Admin (Friday Mixed Social): 

Notes for League Admin (Sunday Scotch Doubles): 
Player One: ** 
Player Two: ** 

Notes for League Admin (Monday Afternoon Social): 

Notes for League Admin (Ladies Inter-City): 

Notes for League Admin (Wednesday Morning Doubles): 

Notes for League Admin (Sunday Afternoon Learn to Curl): 

Notes for League Admin (Sunday Juniors): 

Additional Registration Options

Select any of the optional extra charges below as necessary.



Profile / Other Information:

Smart Serve Certificate   


Registration Accuracy Confirmation: **



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