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CLUB FEE MEMBERSHIP REGISTRATION |
BLUE WATER CURLING CLUB 2007 - 2009-2010 MEMBERSHIP REGISTRATION
P. O. Box 391, Owen Sound, On, N4K 5P7
(519)-371-4778
**Couples: Please complete each side of this form - Thank You**
Name:
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Name: |
Address:
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Address: |
Postal:
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Postal: |
Telephone:
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Telephone: |
email address:
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email address: |
Please Circle Desired League(s) and times (Changes may be subject to limited registration) |
Please Circle Desired League(s) and times (Changes may be subject to limited registration) |
MEN'S Monday 7-9 Tuesday 7-9 Thursday 7-9 |
MIXED Tuesday 9-11 Wednesday 7-9 Friday 7-9 Friday 9-11 LADIES Thursday 5:30-7 |
STUDENT "If space is available"
Please indicate Night & Draw Preference |
MEN'S Monday 7-9 Tuesday 7-9 Thursday 7-9 |
MIXED Tuesday 9-11 Wednesday 7-9 Friday 7-9 LADIES Thursday 5:30-7 |
JUNIOR PROGRAM Sunday @ 1:30 p.m.
Please complete a Jr. Curling form |
SPARE: (must be debenture holder - specify league/time) |
SPARE: (must be debenture holder - specify league/time) |
DEBENTURE FEE: 2008/2010 LEAGUE FEES: One Night + Unlimited Sparing = $230.00 Two Nights + Unlimited Sparing = $345.00 Junior Curling Program = $75.00 Student: Spare or Curls Regular in a House League = $150.00 Ladies Thursday @ 5:30 = Blue Water Debenture + $175.00 LOCKER FEE: $20.00 incl GST Prev. Locker No ______ TOTAL 09/10 FEES DUE: ___________ MEMBER STATUS: Men's / Mixed / Ladies / Student / Jr. Program |
DEBENTURE FEE: 2008/2010 LEAGUE FEES: One Night + Unlimited Sparing = $230.00 Two Nights + Unlimited Sparing = $345.00 Junior Curling Program = $75.00 Student: Spare or Curls Regular in a House League = $150.00 Ladies Thursday @ 5:30 = Blue Water Debenture + $175.00 LOCKER FEE: $20.00 incl GST Prev. Locker No ______ TOTAL 09/10 FEES DUE: ___________ MEMBER STATUS: Men's / Mixed / Ladies / Student / Jr. Program |
Please make Cheques Payable to Blue Water Curling Club

Please make Cheques Payable to Blue Water Curling Club
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