The Listowel Curling Club

Membership Application Form

 Also as a pdf file


Complete the form below and click the submit button. Deadline is October 10, 2011.
One application per person is required.

Please provide a valid e-mail address so we can confirm receipt of your application.
  

Name:
Phone:
Address: (include Postal Code)
E-mail:  
Birth date:
Men  
Monday 7:00 PM     Position Preferred
     
Ladies  
Tuesday Tuesday 9:30 AM     Position Preferred: 
Thursday 7:00 PM
Team name:
Other members:    
       
Mixed      
Wednesday 7:00 PM Position:
       
Seniors    
Thursday mixed 9:30 AM Position:
       
Juniors      
Monday 5:00 - 6:30 PM    
       
Farmers    
Friday 1:15 PM    
       
Competitive League    
Tuesday 7pm & 9pm    
Skip name: Vice:
2nd: Lead:
       
Do you wish to spare any day or night?
Day: Time:
       
LOCKERS: Please indicate here if you wish to rent a locker for the season.
Please add the amount to your registration fees. G.S.T. inc. in price.
Full Length $18.00      1/2 Locker $15.00  
       
       
 

Listowel Curling Club, 2011, 625 Palace Street East, Listowel, ON