Jr Registration Form

Jr Curler Information

Name

Enter Jr Curler Name

Street Address

Enter Street Address

Birthdate (yyyy-mm-dd)

Enter birthdate

City/Town

Select City/Town

Postal Code

Enter Postal Code

Email address (if they have one)

Please enter information...Enter the email address of the Jr Curler if they have one

Cell Phone number (if they have one)

Please enter information...Enter the phone number of the Jr Curler if they have one

Does the Jr Curler plan to play in any of our evening leagues?

Please check... Monday PM Men's league

Please check... Tuesday PM Ladies league

Please check... Wednesday PM Men's league

Please check... Thursday PM Open league

Please check... Friday PM Social league

1st Parent/Guardian Information (all fields required)

Name

Enter Name of 1st Parent/Guardian

Email Address

Enter email address

Phone Number

Enter Phone Number

2nd Parent/Guardian Information (optional)

Name

Please enter information...

Email Address

Please enter information...

Phone Number

Please enter information...

Questions or Comments

Please enter information...

SubmitSubmit  (Email will be sent to 1st Parent/Guardian if registration was successful)