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Ingersoll District Curling Club

New Member Sign-up


STEP 1 OF 3: 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:
Member Since: **
Years Curling Experience: **

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: **

I hereby consent to the use of the personal information provided above for publication in the club membership directory and / or website. This information is intended for the sole use of club members.

Injury Waiver: **

In consideration of acceptance of this registration by 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 club excluding any negligent act, whether by omission or commission of any of the aforesaid persons, parties or entities.

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.

Special Membership Options

Social Membership

Parachute Member

Additional Registration Options

Correction to Daytime Curling Membership Fees incorreclty setup

Learn2curl fee 160 

Name Tag       

Learn to curl fees 

Locker Fee 

This is the Bond Deposit

The OCA Fee is a Required Fee from the Ontario Curling Association

 Entry into the weekly 50/50 draw for the year 

Registration Discount Options

1 Credit Voucher

     $10 Discount

4 Credit Vouchers

50 Dollar Credit Voucher 

Day Ladies 1/2 Season Credit 

Credit of the OCA Fee 

30 dollar voucher            

Bond Not required for Board members etc...

Credit of for the OCA Fee

Assigned a Volunteer Role that Exempts from Bond Fees 

Profile / Other Information:

Do we have Bond Cheque? **    Yes No

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. **    Yes No

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: **

I hereby confirm that the information I have entered on this form is correct and true. I understand that if I have intentionally entered false information in this form to receive discounts that do not apply to me there will be a $25 administration charge on top of the outstanding membership dues owed.

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