Campbell River Curling Club 2020-21 Fall Session Registration Form
Before filling out this form you should know what leagues you plan to register in, and how many people will be on your team. We will not be accepting online payments, but this form will provide you a summary of your fall session fees. Dues/fees to be paid by credit card, cheque, or cash. The Club Manager will be available to collect payment.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
mm/dd/yyyy
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I have read and understand each of the following (you must select all):
*
2020-21 Participant Agreement and Waiver
COVID-19 Declaration of Compliance Form
2020-21 Illness Policy
(1) Select your First League
Monday Open
Tuesday Open
Wednesday Ladies
Wednesday Mens
Thursday Ladies
Thursday Mens
Friday Social
Sunday Social
50+ Tuesday AM
50+ Tuesday PM
50+ Thursday AM
50+ Thursday PM
Select a League
What Team are you registering with (Skip's name)? / If registering in 50+ enter the Position you wish to play
Enter your Skip's Name or 50+ Position
How many Team Members will be registering on this team?/ If registering in 50+ there is only 3 team members
3
4
5
6
n/a
(2) Select your Second League (if applicable)
Monday Open
Tuesday Open
Wednesday Ladies
Wednesday Mens
Thursday Ladies
Thursday Mens
Friday Social
Sunday Social
50+ Tuesday AM
50+ Tuesday PM
50+ Thursday AM
50+ Thursday PM
Select a League
What Team are you registering with (Skip's name)? / If registering in 50+ enter the Position you wish to play
Enter your Skip's Name or 50+ Position
How many Team Members will be registering on this team?/ If registering in 50+ there is only 3 team members
3
4
5
6
n/a
(3) Select your Third League (if applicable)
Monday Open
Tuesday Open
Wednesday Ladies
Wednesday Mens
Thursday Ladies
Thursday Mens
Friday Social
Sunday Social
50+ Tuesday AM
50+ Tuesday PM
50+ Thursday AM
50+ Thursday PM
Select a League
What Team are you registering with (Skip's name)?
Enter your Skip's Name or Team Name
How many Team Members will be registering on this team?
3
4
5
6
n/a
Fall Session Fees and Dues Summary
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( X )
Curl BC Affiliation Fee
Covers insurance, liability, and other costs associated with affiliation.
$
20.00
CAD
Campbell River Curling Club Pandemic Fee
Per curler fee, non-refundable.
$
60.00
CAD
First League
$
150.00
CAD
How many players will be registered on your team?
3 players
4 players
5 players
6 players
50+ (invididual)
Second League
$
150.00
CAD
How many players will be registered on your team?
3 players
4 players
5 players
6 players
50+ (inidividual)
Third League
$
150.00
CAD
How many players will be registered on your team?
3 players
4 players
5 players
6 players
How will you pay?
I will drop off a cheque for the Total amount
I will drop off cash for the Total amount
I will phone-in my Credit Card information
I will drop in and pay by Debit
Do you have additional questions about registration not covered by this form?
Yes - please contact me using the information I have provided
No
Submit
Should be Empty: