New Member Sign-up

REGISTRATION FORM FOR THE 2025-26 Season SEASON

Enter registration details

Note that all required fields are marked with **

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

I hereby consent to the use of the personal information provided above for publication in the club membership directory and / or website. This information is intended for the sole use of club members.

I have read the details above and I accept ** (Required for all registrants)

Release of Liability

Please read the Release of Liabillity document at the following link.

/data/137/documents/RELEASE OF LIABILITY.pdf

I have read the details above and I accept ** (Required for all registrants)

Informed Consent and Assumption of Risk Agreement

Please read the Informed Consent and Assumption of Risk Agreement at the following link.

/data/137/documents/INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT.pdf

I have read the details above and I accept ** (Required for all registrants)

Membership Selection Instructions

Please enter all team member names for choose your own leagues, each team member must submit their own form. Not on a team? Write assign for the other team members.

Membership Selections (no leagues)

Social Membership $48.67 plus tax

Additional Options

	Mandatory CurlOn Fee of $5.00 per curler. Youth Programs are exempt.
	Volunteer Opt-out Fee Full Season $100 including tax. Note: Not required for Youth and Adult Learn to Curl members.
	Volunteer Opt-out Fee Half Season $50 including tax. Note: Not required for Youth and Learn to Curl Members.
	Locker $25.00 plus tax
	Name Tag (No Charge for New Members) $15 plus tax.

Discount Options

	New Member Discount - Full Season $50 including tax (Note: Adult Learn to Curl is not eligible for this discount) This discount can be combined with the Intermediate Age Discount.
	New Member Discount - Half Season $30 including tax. (Note: Adult Learn to Curl members are not eligible for this discount.) This discount can be combined with the Intermediate Age Discount.
	Intermediate Age Discount (19-35 years of age) Full Season $50 including tax. (Note: Adult Learn to Curl not eligible for this discount) This can be combined with the new member discount. Note: Discount may be subject ot verificationn for eligibility.
	Intermediate Age Discount (19-35 years of age) - Half Season $30 including tax. Note: Learn to Curl members are eligible for this discount. This discount can be combined with the New Member Discount.

Other Information

Locker
Enter your locker number if you already have one assigned. If this is the first time that you are renting a locker, please contact the Registration Director, Melissa Landriault, for available lockers. If you are not renting a locker, please leave this field blank.

Media Release Consent **
I hereby grant the Arnprior Curling Club permission to use my likeness in a photograph, video or other digital media in any and all of its publications, including web based publications, without payment or other considerations.

Arnprior Curling Club Code of Conduct

Please read the Arnprior Curling Club Conduct of Conduct Policy at the following link: /data/137/documents/ACC Code of Conduct 2024.pdf

I have read the details above and I accept ** (Required for all registrants)

Registration Accuracy Confirmation

I hereby confirm that the information I have entered on this form is correct and true. I understand that if I have intentionally entered false information in this form to receive discounts that do not apply to me there will be a $25 administration charge on top of the outstanding membership dues owed.

I have read the details above and I accept ** (Required for all registrants)