Registration Form Team Name: _________________________________________________________ Capitain : ____________________________________________________________ Phone. (work) : ________________________ (home) : ________________________ Billing Adress : ________________________________________________________ City : ___________________________ Postal Code : _________________________ PLEASE SUBMIT YOUR APPLICATION FORM ACCOMPANIED BY A CHEQUE OF $200 BEFORE DECEMBER 16TH 2016. CHEQUES MUST BE MADE TO THE ORDER OF CLUB ROTARY RESURGO. List of team members : (Capitain) : ____________________________________________ 2 : _____________________________________________ 3 : _____________________________________________ 4 : _____________________________________________ Total numbers of hours of team experience: ______________ ❐ Yes we have team members who wish to attend the 9am practice session. More Info : Estelle Doiron | [email protected] | Phone : 506.850.3735 Saturday January 7th 2017 – Wedgewood Hall, 80 Lockhart Ave Bring a team of your friends or coworkers and participate in a full day of curling fun. The tournament takes place in an atmosphere of camaraderie and teamwork while charitable benefits go to the Rotary Resurgo Club. Moreover, the winning team will be awarded a prize of $500 to give to the charity of their choice. The tournament will be held Saturday, January 7th beginning at 10am.The ice surfaces and rocks will be available for participants with less experience to practice starting at 9am. MAXIMUM 20 TEAMS Registration Details : Participants must be aged 19 or over; Every team must be made of 4 team members; Teams must designate a Captain on the registration form; The registration deadline is December 16th 2016; Every team will receive Pizza with their registration Cost : 200 $ per team More Info : Estelle Doiron | [email protected] | Phone : 506.850.3735
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