NCCC Registration Form 2020

Northumberland Community Curling Club

Registration form 2020 / 2021
Full Name *

First Name Last Name
Mailing Address *

Street Address

Street Address Line 2

City Province

Postal Code
Primary Phone Number *
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Email Address (please print) *
example@example.com
Click on the drop to choose your age group. *
Please indicate the category that you are choosing. Prices include HST.

Full Membership - $353.00 - Fees are due on or before Oct. 29, 2020 unless the 2 post-dated cheque payment option is chosen: both cheques, each for $176.50, to be submitted on or before Oct. 29, 2020. One cheque should be dated on or before Oct. 29 and the other before Jan. 3, 2021. Introductory Member - New curler to NCCC - $246.00 Once a Week - $261.00 Snowbird: Oct. 30 - Jan. 17 - $261.00 - unlimited curling Post-secondary - $174.00 Social - $36.00 Learn-to-Curl -$80.00. If you decide to purchase a membership this year, your $80.00 will go towards your membership.
Your Total:
Pay as you play - $16 per game is available to non-members. HST is included.

THERE WILL BE NO LOCKER ROOM THIS SEASON
Payment can be made by Cheque(s), Money Order, Cash, or E-Transfer.

E-Transfer your payment to: ncccfinance464@gmail.com (auto deposit).

Mail your Registration Form and Waiver to: NCCC, PO BOX 464, PUGWASH NS B0K 1L0 or turn it in at the Orientation/Registration or drop it in the mail box outside the main entrance.

Payment, The Declaration of Compliance and Release of Liability Waiver of Claims and Indemnity Agreement must be signed before you curl.
The Northumberland Community Curling Club follows guidelines of the Personal Information and Electronics Documents Act. We will ensure that all information completed on this form is used with your informed consent and will not be made available to any other organizations. Information will be used solely for membership communication.
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Northumberland Community Curling Club