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65 Millside Dr, Milton, Ontario (905) 878-3341 L9T 1S8




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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: **

STEP 1: Please select the membership type first by checking on the appropriate round checkbox.

 

STEP 2: Please select the league(s) in which you wish to play by checking the appropriate square checkbox(es).             

 Rank your League Choices:  

  • If you select more than two (2) leagues, you must state in the "Notes for Convenor" box for each league selected your draw preference (i.e., 1st, 2nd, 3rd, etc.) If you fail to do so, the membership director may make this choice for you.
  • Every attempt will be made to give your 1st and 2nd league choices priority.
  • League choices beyond the first two will depend upon availability. Please Note: If you select a Chose Your Own Team league and it is not marked as your 1st or 2nd preference, you must be prepared to give up your spot on the team for a member not currently on a team. 
  • The "Notes for Convenor" box should also be used to inform the social league conveners of your preferences regarding position or draw (mixed social only).

 

STEP 3: Chose Your Own (CYO) team members: 

  • Each CYO team member must submit their own registration. 
  • Enter all team member names (first and last name)
  • If you are currently not on a CYO team and wish to join, enter your name in the box for your preferred position and enter “assign” for each of the other three positions. If you are on a CYO team that has a vacancy, enter "assign" in the box for the postion that is vacant.
  • Once a CYO league is full, remaining individuals or teams will be added to a wait list.

 

Please submit your membership registration form by August 15, 2019.

Payment is to be submitted by September 6, 2019.

 

Extra info:

  • If you wish a TAX RECEIPT please print a copy immediately after you have completed and submitted your registration form.  If you encounter problems and require a receipt, please contact membership@miltoncurlingclub.ca
  • There will be a $100.00 non refundable administration fee on all membership refunds. Your refund will be calculated upon how many months you curled and then the administration fee will be subtracted from that.  You will stay on as a social member (the calculation is included in the fee).
 

League Curling

Notes for League Admin (Day Mens Social ): 

Notes for League Admin (Daytime Open Choose Your Own Team): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Notes for League Admin (Day Women Choose Your Own Team): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Notes for League Admin (Day Womens Social): 

Notes for League Admin (Womens Social Monday): 

Notes for League Admin (Womens Social Tuesday): 

Notes for League Admin (Mens Social Monday): 

Notes for League Admin (Mens Social Tuesday): 

Notes for League Admin (Mixed Choose Your Own Team): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Notes for League Admin (Wed Mixed Drop in ): 

Notes for League Admin (Mixed Social): 

Notes for League Admin (Open Choose Your Own Team): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

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

 

 

Notes for League Admin (Juniors or Bantams ): 

Notes for League Admin (Lite Rocks): 

Special Membership Options


Additional Registration Options

All new members (with the exception of Learn to Curl, Youth and OCA) are required to pay a club iniitation fee. If this is applicable to you please select accordingly.

This initiation fee is available as a one time fee of $165.00 or can be paid over 3 years at a cost of $60.00 per year..



Profile / Other Information:

Curling Instructors   

First Aid Certified   

Food Handlers Certificate   

Smart Serve Certiciate   


Registration Accuracy Confirmation: **



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