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Ingersoll District Curling Club

New Member Sign-up

REGISTRATION FORM FOR THE 2019-20 CURLING SEASON


Enter registration details

Note that all required fields are marked with **


Enter 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.

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


Injury Waiver: **


Registration Selection: **

Please enter 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.

League Curling

Notes for League Admin (Junior Curling Learn to Curl and League): 

Notes for League Admin (Monday Night Womens): 

Notes for League Admin (Tuesday Night Mens): 

Notes for League Admin (Wednesday Night Mixed): 

Notes for League Admin (Thursday Night Recreational League): 

Notes for League Admin (Doubles (Open)): 

Notes for League Admin (Friday Night Fun League): 

Notes for League Admin (Tuesday and Thursday Daytime Mens): 

Notes for League Admin (Tuesday Daytime Ladies): 

Notes for League Admin (Thursday Daytime Ladies): 

Additional Registration Options



Profile / Other Information:

Do we have Bond Cheque? **   

Enter the volunteer work you do or plan on doing. Uncertain then leave blank.   

Enter your locker number   

I wish my bond cheque cashed now. **   

NOTES: Please enter details about the team(s) and nights you wish to play with.   

Paid bond but plan on working it off   


Registration Accuracy Confirmation: **



Woodstock Carpet One
Tim Hortons - Ingersoll
Als Tirecraft
Brokerlink
Bell-Camp Manufacturing Inc
Louies Pizza & Pasta
Funnell Insurance Group - The Cooperators
Ponting Financial Group
The Mortgage Teachers
Thamesford Pizza
Glass Doctor of Oxford County
Searles Motor Products
Unifor Local 88
Trembletts Independent
McFarlan Rowland
Anderson Appliances
Fairbanks Auto Body
Hunt Foot and Ankle Clinic
ERTH Corporation
Pharmasave- Ingersoll
Comfort Inn & Suites
McClay Transport
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