Russell Curling Club

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2009-10 Forms

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2009-2010 Registration


Member Details
First Name		Last Name
Address		City
Province		Postal Code
EmailAddress		Home Phone
Bus. Phone		Other Phone
Member Certificate #		Sex	Female Male
Date of Birth		Smart Serve #

Website User Information
Website UserName
Password		Confirm Password


Registration Details

Please select a registration type			0.0
Adult Full membership, unlimited curling	275.0
Adult Full membership, One League curling	225.0
Little Rocks - Ages 7-12, includes $30 Bonspiel fee	100.0
Bantam/Junior - Ages 13-21, includes $75 Bonspiel fee	150.0
Seniors membership	225.0

Please select a lifetime membership payment option			0.0
Life Time Membership Fee	100.0
Membership Payment Plan Fee 1st Year	25.0
Membership Payment Plan Fee 2nd Year	25.0
Membership Payment Plan Fee 3rd Year	25.0
Membership Payment Plan Fee 4th Year	25.0

Other Fees
Mandatory Catering Fee	20.0
Catering Opt out Fee. Applies if you do NOT want to volunteer(6hrs) OR Fail to do it.)	100.0
Locker Fee	15.0
Purchase Dream Ticket as part of Registration	100.0

Total registration amount due

League Information
League	Register?	Registration Notes		Spare?	Sparing Notes
Mens League
Cash League		Skip's name :
Evening League		Join as individual or Join as Pair with : ____________ or Join as Team with : ____________
Ladies League
Social League		Join as individual or Join as Pair with : ____________ or Join as Team with : ____________
Little Rocks		Guardian's name :
Bantam/Junior		Guardian's name :
Seniors League
Day League

Volunteer List: Check as many as you want!
Catering	Bar Duty	Bonspiels (Organizing)
Bonspiels (Kitchen Duties)	Bookkeeper/Treasurer	Catering
Closing Banquet	Curling Development	DataBase and Computers
Decorating	Draws	Expansion Committee
Golf Tournament	Membership	Property Maintenance
Public Relations	Recording Secretary	Russell Fair
Senior Curling Events	Senior Curling Events	Web Site Maintenance

I would like to attend a curling clinic