HUNTSVILLE CURLING CLUB
6 Veterans Way, Huntsville, Ontario
2017/18
Season
P1H 1V9
Email: [email protected] (705) 789-4571
RECREATIONAL LEAGUE MEMBERSHIP REGISTRATION
NAME OF YOUR TEAM:
$800.00 Rate for the TEAM (includes HST – HST #125775098 RT0001)
Assumption of Risk/Release of Liability Agreement:
My signature below indicates that I understand and agree that there is a
risk of injury when participating in any physical activity. I release the Huntsville Curling Club from all liability arising from injury and/or damage
or theft of my personal property.
Date: ________________
Members of your team starting with primary team contact person – each person must complete & sign:
PRINT NAME
ADDRESS & PHONE
EMAIL ADDRESS
SIGNATURE
*Reg League
Member?
Card
Key?
($5)
1
2
3
4
5
6
7
8
$800 Team Registration +
___ Card Key(s) @ $5 each +
___ Name Tag(s) @ $10 each =
Amount Paid $__________
Total: $__________
Cash:
□ or Cheque #:____________
Cheque Date: _____________________
*Note: Recreational League members who have also paid for a full year Regular League Membership (either in 1 payment or
with 3 post-dated cheques), will receive a refund for 50% of the portion they paid of the $800 Rec League Team fee.
Name
Tag?
($10)