NCCC Registration Form 2022

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. *

Payment must be received prior to curling.

Please indicate the category that you are choosing. Prices include HST. Pay as you play this year will be - $17.00 per game.

Full Membership - $371.00 - Fees are due on or before Oct. 29, 2022 unless the 2 post-dated cheque payment option is chosen: both cheques, each for $185.50, to be submitted on or before Oct. 29, 2022. One cheque should be dated on or before Oct. 29 and the other before Jan. 3, 2023. Introductory Member - New curler to NCCC - $258.00 Once a Week - $274.00 Snowbird: Oct. 30 - Jan. 15, 2023 - $274.00 - unlimited curling Post-secondary - $183.00 Social - $38.00 (no curling privileges) Learn-to-Curl -$84.00. If you decide to purchase a membership this year, your $84.00 will go towards your membership.

Your Total:

Pay by eTransfer (an eMail will follow).

or

Make your cheque or money order payable to NCCC, and mail completed forms to:

NCCC

PO BOX 464

PUGWASH NS B0K 1L0

or

Pay at Open House October 24 - 27, 2022

Curling starts October 29, 2022