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REGISTRATION FORM FOR THE 2025-26 SEASON


Enter registration details

Note that all required fields are marked with **


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.

Injury Waiver

    In consideration of acceptance of this registration by Curling Club ("the club"), I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE the club and each of its members, officers and employees FROM ANY AND ALL claims, demands, damages, costs, expenses, actions and cause of action, whether in law or equity in respect of death, injury, loss or damage to myself or property, arising or to arise by reason of my participation in the Curling Club, that has not been contributed to or occasioned by any negligent act, by omission or commission, of any of the aforesaid.

     A copy of the full club waiver is available at the club and online @ waivers and release



Consent to Release Information, Privacy Policy and Anti-Spam Policy

    I hereby consent to the use of the personal information provided above by the Curling Club administration. Only my name, email address and phone numbers will be listed in the membership directory and/or website for general member use. This information is intended for the sole use of the Elora Curling Club and will not be shared outside the Curling Club.



Public Health Waiver

    Public Health Protocol 

    All members must adhere to current public health rules and regulations.  Visit the wdgpublichealth.ca website for current guidelines.



Acknowledgement of Helmet Policy

    I hereby acknowledge and confirm the club's policy regarding helmet use. Any member or user under the age of 12 is REQUIRED to wear a helmet at all times on the ice surface. Any member or user 12 years of age and older participating in a Learn To Curl program is RECOMMENDED to wear a helmet or protective headgear.  



Membership Selection Instructions

Select the membership type first by checking on the appropriate round checkbox. If registering for a membership type that also has league selections please check all the square checkboxes for the leagues in which you wish to play. Please show all team member names for choose your own leagues (EACH team member must submit their own form). Not on a team? Write "assign" for the other team members.


Membership Selections (with leagues)

Notes for League Manager (Friday Junior Curling): 

Notes for League Manager (Monday Night Mens): 

Notes for League Manager (Tuesday Morning): 

Notes for League Manager (Tuesday Night Women's): 

Notes for League Manager (Wednesday Afternoon): 

Notes for League Manager (Wednesday Night): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Notes for League Manager (Thursday Morning Doubles): 

Notes for League Manager (Thursday Night): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Notes for League Manager (Friday Night): 




Additional Options

 

Select LEARN TO CURL if you are participating in the Learn to Curl option as a NON-MEMBER. 


Discount Options

 

Select any discounts that apply to your membership. 



Other Information
Food Handler Certification   

Smart Serve Number   

Interested in being on a committee?   


Registration Accuracy Confirmation

    I hereby confirm that the information I have entered on this form is correct and true.




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