NCCC Registration Form 2021

The Nova Scotia Board of Health requires all members 12 years and older to be fully vaccinated against the COVID-19 virus, with at least 14 days since the second dose. If you are under the age of 12, or meet these requirements above, please click "Yes" to continue. *

Yes No

We are sorry. Due to regulations from the Nova Scotia Board of Health, if you are 12 years old or over you must be fully Vaccinated against Covid-19 to join our Club.

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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. *
REQUIREMENTS BEFORE YOU CAN CURL
1. Proof of double vaccinations.
2. Payment.
3. Declaration of Compliance Signd.
4. Release of Liability. Waiver of Claims and Indemnity Agreement Signed.
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:
Payment can be made by Cheque(s), Cash, or E-Transfer.

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

Mail your Registration Form to: NCCC, PO BOX 464, PUGWASH NS B0K 1L0 or turn it in at the Open house 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.
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