Ilderton Curling Club

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REGISTRATION FORM FOR THE 2017-2018 CURLING SEASON

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:
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 by the Club administration. Only names, phone numbers and email addresses will be listed in the online membership directory for general member use. A login to this site is required for this directory. This information is intended for the sole use of the Club and will not be shared outside the Club. All members will be included in the printed Phone Book. Members who wish to have their phone and address removed from this book may request this on the sign up sheet at the club.


Injury Waiver: **

In consideration of acceptance of this registration by Club ("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, that has not been contributed to or occasioned by any negligent act, by omission or commission, of any of the aforesaid.


Registration Selection: **

STEP 1: Select one Membership Type by pressing the appropriate round radio button

  • Intermediate members (ages 19-25) should select "Full Member" and then choose the "Intermediate Discount" box under "Registration Discount Options" located near the bottom of the page
  • Junior members (U19) who wish to also play in leagues under Full Member should select "Full Member" and then choose the "Junior-Full Discount" box under "Registration Discount Options"

STEP 2: Select the league(s) in which you wish to play by checking the square checkbox next to that league's description.

  • If signing up for a competitive/skip's choice league, you must indicate the names of all teammates
  • All teammates must sign up individually and entries are not complete until all members have registered
  • If you which to spare for any league, you will be able to sign up after receiving your new logon ID.  DO NOT include any spare information in this registration form
  • If you are interested in a competitive or skip's choice league, but do not have a team, please contact the league convenor and Games Director- games@ildertoncurlingclub.com 
  • If you select Full Member and also wish to play in the Novice league then please contact that league's convenor 

STEP 3: Select any "Additional Registration Options" that you would like to participate in (ie. clinics, Out of the Gate Spiel etc.) near the bottom of the page

League Curling

FULL MEMBER (Adult or Intermediate) $400 (includes HST)

LADIES COMPETITIVE: Monday (Evening)

  • Must enter the names of all teammates when registering for this league.
  • Preferred registration for this league is by full team. Members without a team should contact the league convenor. 
  • There are 5 spots remaining.
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

LADIES SOCIAL: Tuesday (Daytime)

  • Indicate preference between 9 a.m. and 11 a.m. draw times and position in Convenor Notes.
  • There are 2 spots remaining.
Notes for Convenor (Ladies Social (Daytime)): 

LADIES SOCIAL: Tuesday (Evening)

  • There are 2 spots remaining.

LADIES COMPETITIVE: Thursday (Daytime)

  • Must enter the names of all teammates when registering for this league.
  • Preferred registration for this league is by full team. Members without a team should contact the league convenor. 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

MEN'S SOCIAL: Monday (Evening)

  • This league is full.
Notes for Convenor (Mens Social): 

SENIOR MEN'S: Tuesday/Thursday (Daytime)

MEN'S COMPETITIVE: Tuesday/Wednesday (Evening)

  • Must enter the names of all teammates when registering for this league.
  • Preferred registration for this league is by full team. Members without a team should contact the league convenor. 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

MIXED SOCIAL: Monday (Daytime)

  • Indicate position preference in Convenor Notes.
  • There are 4 spots left.
Notes for Convenor (Mixed Social (Monday AM)): 

MIXED SKIP'S CHOICE: Monday (Morning)

  • Must enter the names of all teammates when registering for this league.
  • Preferred registration for this league is by full team. Members without a team should contact the league convenor. 
  • There are 1 spots remaining.
Notes for Convenor (Mixed Skips Choice (Monday AM)): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

MIXED DOUBLES: Tuesday (Evening)

  • Must enter the names of both teammates when registering for this league.
  • Preferred registration for this league is by full team. Members without a team should contact the league convenor. 
Notes for Convenor (Mixed Doubles (Tuesday PM)): 
Player One: ** 
Player Two: ** 

MIXED SOCIAL: Wednesday (Daytime)

  • Indicate preference between 11:30 a.m. and 1:30 p.m. draw times and position in Convenor Notes
Notes for Convenor (Mixed Social (Wed. Daytime)): 

OPEN SKIP'S CHOICE: Thursday (Daytime)

  • Must enter the names of all teammates when registering for this league.
  • Preferred registration for this league is by full team. Members without a team should contact the league convenor. 
  • There are 1 spots left.
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

MIXED SOCIAL: Thursday (Evening)

  • Indicate position preference in Convenor Notes
Notes for Convenor (Mixed Social (Thursday PM)): 

OPEN SKIP'S CHOICE: Thursday (Evening)

  • Must enter the names of all teammates when registering for this league.
  • Preferred registration for this league is by full team. Members without a team should contact the league convenor. 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

MIXED SOCIAL: Friday (Evening)

  • Indicate position preference in Convenor Notes.
  • There are 7 spots left.
Notes for Convenor (Mixed Social (Friday PM)): 

MIXED SKIP'S CHOICE: Friday (Evening)

  • Must enter the names of all teammates when registering for this league.
  • Preferred registration for this league is by full team. Members without a team should contact the league convenor. 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

 

JUNIOR MEMBER $90 (includes HST)

  • Junior members are eligible to play in evening events
  • Juniors wishing to play in evening leagues should register as FULL MEMBER and select the "Junior-Full Discount" option to get the junior rate

JUNIOR COMPETITIVE: Sunday (11 a.m.)

JUNIOR: Sunday (2:30 p.m.)

Notes for Convenor (Junior): 

 

LITTLE ROCKERS MEMBER  $60 (HST exempt)

LITTLE ROCKERS: Sunday (1 p.m.)

  • Indicate number of years curled in Convenor Notes
Notes for Convenor (Little Rockers): 

 

WHEELCHAIR MEMBER  $85 (includes HST)

WHEELCHAIR CURLING: Sunday (11 a.m.)

 

NOVICE 1 (Oct - Dec)  $180 (includes HST)  Novice League Only 

  • This is for new members who are only curling in this 10-week league.  Some conditions apply.

NOVICE FALL: Monday (Evening) 

 

NOVICE 2 (Jan - Mar)  $180 (includes HST)  Novice League Only 

  • This is for new members who are only curling in this 10-week league.  Some conditions apply.

NOVICE WINTER: Monday (Evening) 


Special Membership Options

OCA MEMBER  $60 (Includes HST)

  • OCA members can represent ICC at OCA/CCA events. No club play. No charge practice ice, if available.

ASSOCIATE MEMBER  $135 (includes HST)

  • Associate Members are eligible to only spare. Other conditions may apply.

LEARN-TO-CURL 1 (Oct - Dec)  $180 (includes HST) Non-members 

  • Members curling in other leagues should choice the "Learn-To-Curl" Extra

LEARN-TO-CURL 2 (Jan - Mar)  $180 (includes HST) Non-members 

  • Members curling in other leagues should choice the "Learn-To-Curl" Extra

Additional Registration Options

ADVANCED CLINIC  $10 +HST

  • Sunday, October 15th from 9:00 a.m. - 4:00 p.m.
  • Recommended for more experienced curlers.
  • Topics such as fault analysis, advanced strategy will be covered, in addition to working on a more consistent delivery.
  • A light lunch will be served.
  • No refunds will be given for late withdrawals.

LADIES OPENING LUNCHEON  $15 +HST

  • Tuesday, October 17 (10 a.m.)
  • Organized by the Ladies Executive
  • In addition to the lunch, there will be fun and games for all.
  • Light lunch is served

LEARN-TO-CURL  $65 (includes HST)

  • Applies to ICC members only
  • 10 weeks of training sessions in duration. 
    • The first five weeks dedicated to instruction on curling basics, rules and technique. 
    • The remaining nights will be a game format to help bring it all together.
  • All classes will be on Tuesday evenings from 7:30 to 9:30 pm.

For answers to your questions please contact Marv Schmitt at marvo@rogers.com

NOVICE CLINIC  $10 +HST

  • Saturday, October 14th from 9:00 a.m. - 4:00 p.m.
  • Recommended for curlers with less than 5 years experience.
  • Topics will include equipment, scoring, rules, delivery, sweeping and basic strategy.
  • A light lunch will be served.
  • No refunds will be given for late withdrawals.

OUT OF THE GATE BONSPIEL  $12 +HST

  • Friday, October 13th (6 p.m.)
  • Social event where we renew acquaintances with friends we may not have seen since last season.
  • Light dinner is served

LATE FEE  $20 late fee (includes HST)

  • Effective September 21, 2017
  • Applied to Full memberships only

Registration Discount Options

INTERMEDIATE DISCOUNT  $50 discount

JUNIOR-FULL DISCOUNT  $310 discount off Full Membership

  • For junior members playing in other leagues


Profile / Other Information:

Guardian Address   

Guardian Name   


Registration Accuracy Confirmation: **

 I hereby confirm that the information I have entered on this form is correct and true.

PAYMENT INFORMATION:

The payment deadline for all memberships is September 21, 2017.  Cheques can be postdated to 09/21/2017.  All Full Membership payments received AFTER Sept. 21 will be subject to a $20 late fee. Please note that cheques may be cashed at any time after the date on the cheque. 

PAYMENT OPTIONS 

 VIA eTransfer 

Setup Ilderton Curling Club as an Interac eTransfer recipient.

Email addresspayments@ildertoncurlingclub.com

Security answer: found on the invoice to be emailed to you after you complete and print the registration form. DO NOT use your own security answer. PLEASE use the one we provide.

Message: include your registration # found on the invoice emailed to you

VIA MAIL

Make cheque payable to: ILDERTON CURLING CLUB

Memo Field: Include your registration # found on the invoice emailed to you

Submit to:

ICC Membership Director
c/o Eric Clinton
35 Beechnut Pl. RR3
KOMOKA, ON  N0L 1R0 

You do not need to include a printed form. Your member number in the Memo field is enough.  Cash is NOT accepted via mail. You can postdate to Sept. 21 2017.

IN PERSON

The club will hold one payment night at the Ilderton Curling Club:

  • Monday, September 18 - 6 p.m. to 8 p.m.

Both cash and cheque will be accepted. Debit may be available, but don't count on it. Cheques may be postdated to Sept. 21 2017.

In-person registration WILL NOT be available on this night.

Any questions regarding registration should be directed to:

  • Eric Clinton
    ICC Membership Director
    519-657-0426 (home)


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