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Stayner Granite Club Inc

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REGISTRATION FORM FOR THE 2019-20 CURLING SEASON


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: **


Injury Waiver: **


Registration Selection: **

Please enter all team member names for "choose your own team leagues", each team member must submit their own form.

Tick all the leagues in which you wish to play.

Enter preferred positions in the box provided.

Snow Birds please enter date of your departure to warmer Climates. 

All leagues will start curling in October.

League Curling

Notes for League Admin (Monday Evening Mixed League): 

Notes for League Admin (Tuesday Mixed Day League): 

Notes for League Admin (Tuesday Evening Men's League): 

Notes for League Admin (Wednesday Morning Open Competitive League): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Notes for League Admin (Wednesday Travelling League): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Notes for League Admin (Wednesday Evening Mixed Fun League): 

Notes for League Admin (Thursday Mixed Day League): 

Notes for League Admin (Thursday DeGroot Competitive League): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Notes for League Admin (Friday Morning Ladies League): 

Notes for League Admin (Friday Mini-Major Pharmacy Stick Curling League): 
Player One: ** 
Player Two: ** 

Notes for League Admin (Friday Evening Jitney): 

Special Membership Options


Additional Registration Options

If you had a locker last season, please check the appropriate box and pay $25 if you wish to keep the same locker.

New to Stayner or had no locker last year?  Check with Michael Gnoyke at michael.gnoyke@rogers.com for availability on first come first basis before paying. 


Registration Discount Options

Please click on the boxes below for discounts that apply to you.



Registration Accuracy Confirmation: **



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