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Bradford Curling Club

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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: **

Payment can be made by Visa or Mastercard on Page 3, once form has been completed. 

Please enter all team member names for Choose Your Own Leagues. Each team member must submit their own registration before a team is confirmed.

If you are not on a team or do not know your team members, enter your name in your preferred position and enter "ASSIGN" for the other team members.

Youth Curlers check one spot only. 

League Curling

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

Notes for League Admin (Youth Adult): 

Notes for League Admin (Sunday Social League): 

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

Notes for League Admin (Tuesday Mixed): 

Notes for League Admin (Wednesday Ladies): 

Player One: ** 
Player Two: ** 

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

Notes for League Admin (Friday Mixed): 

Special Membership Options


Additional Registration Options



Profile / Other Information:

Smart Serve Number   


Registration Accuracy Confirmation: **



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