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Ingersoll District Curling Club

New Member Sign-up

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.

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.

I have read the details above and I accept ** (Required for all registrants)

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.

I have read the details above and I accept ** (Required for all registrants)

Membership Selection Instructions

Please enter all team member names for choose your own leagues, each team member must submit their own form. Not on a team? Just enter 'find me a team'

Membership Selections (no leagues)

	Social Membership
	Learn to Curl only, not playing in another league.
	Parachute Member

Additional Options

	Late Fee use when payment is past due.
	Learn to Curl fee for members
	Name Tag
	Locker Fee
	This is the Bond Deposit required for all League Players execpt FT Students
	This is the Capital Fund amount required by all League Players except FT Students
	The CurlOn Fee is a Required Fee for all League Players Except FT Students

Other Information

I wish my bond cheque cashed now.		Yes No
Please go ahead and cash my bond cheque now as I will not be volunteering.

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.

I have read the details above and I accept ** (Required for all registrants)