THE STAYNER GRANITE CURLING CLUB
BOX 609, OAK & SUPERIOR STREETS,
STAYNER ONTARIO
LOM 1S5
TEL # (705) 428-5853
E-Mail: info1400@rogers.com
Website:www.staynercurling.com
2010 / 2011 MEMBERSHIP REGISTRATION FORM AND FEES
NAME:
ADDRESS:
CITY:
POSTAL CODE:
HOME PHONE #:
REQUIRE LOCKER:
NO
YES
BUSINESS PHONE #:
YOUR E- MAIL ADDRESS:
M/F:
M
F
HOLDER of SMART SERVE Certification:
NO
YES
Any changes on previous year's registration forms:
NO
YES
.
CURLING EXPERIENCE:
NEW,
NEW with previous curling experience OR
Returning member
POSITION:
Lead
Second
Third
Skip
Lead/Second
Second/Third
Third/Skip
M/F:
M
F
MEMBERSHIP FEE SCHEDULE (including HST):
New Member.........................= $200.00
Adult - (full season).............= $248.00
Senior - (65 as of 01/10/10) = $211.00
Snowbird - (single draw)......= $124.00
Junior........................................ = $50.00
INCLUDE VOLUNTEER FEE:---------------------------------------------------------(add)
$15.00
INCLUDE LOCKER RENTAL FEE:--------------------------------------------------(add)
$12.00
SUB FEE AMOUNT:-------------------------------------------------------------- Sub Total
*
$215.00
$263.00
$226.00
$139.00
$50.00
$227.00
$275.00
$238.00
$151.00
.............................................................Less Volunteer Credit $
.....................................Total Membership Fee for 2010 - 2011 $
NOTE:
(*)Volunteer credit amounts will vary
- do not write cheque until Registration.
WEEKLY SCHEDULE - PLEASE CHECK WHICH LEAGUE(S) YOU WOULD LIKE TO ENTER. :
Monday ‘Evening’ Mixed League (2 draws - @ 7:00 pm / 8:30 pm).
Tuesday ‘Daytime’ Mixed League (3 draws - @ 9:00 am / 11:30 am or 2:00 pm).
Tuesday ‘Evening’ Men’s League (1 draw - @ 7:30 pm).
Wednesday ‘Evening’ Mixed League ( 2 draw - @ 7:00 pm / 9:00 pm)
Thursday ‘Daytime’ Mixed League ( 3 draws-@ 9:00 am / 11:30 am or 2:00 pm)
Thursday ‘Evening’ Competitive Mixed League (2 draws - @ 7:00 pm / 9:00 pm)
Friday ‘Fun Evening’ (1 draw - @ 8:00 pm)
IMPORTANT:After completing the Registration process, please ensure you have your name on the sign up sheets for the various leagues before leaving. The Curling Chairman or one of his or her committee members will be available to answer any questions. New members (first time curlers) can take a little extra time for payment of their dues to make sure curling is a sport you will enjoy.
2010 / 2011 REGISTRATION DATES:
Wednesday Sept 22th. & 29th from 7:00 pm - 9:00 pm
Sunday Sept.26th from 1:00 pm – 4:00 pm
OPEN HOUSE: Sunday Oct 3rd. starting @ 1:00 pm.
MEMBER VOLUNTEERING PARTICIPATION:
The essential reason for the success of our Club is the volunteering of the members’ time and talents. Throughout the year there are numerous activities and events when Membership assistance is required. At Registration, each member will be asked to contribute toward another successful curling season.
Any questions, please contact Win Cull- phone 428-5853 or E-mail WinCull@aol.com
LIABILITY WAIVER:
Participation in any event provided by The Stayner Granite Curling Club will be done at my own risk and The Stayner Granite Curling Club shall not be liable in any case for any loss, damage, or injury resulting from or in connection with myself, the undersigned participant.
SIGNED:
DATE:
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