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REGISTRATION FORM FOR THE 2025-2026 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.

Email Use Consent

By providing my email address, I hereby provide express consent for the Brant Curling Club to contact me with regards to information related to the club such as schedules, event info and newsletters. I can opt out of the electronic notification via email at any time.

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

Consent to Release Information

I hereby consent to the use of the personal information provided above by the Club administration. Only my name and phone numbers will be listed in the membership directory and/or website for general member use. This information is intended for the sole use of the Club and will not be shared outside the Club.

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

Photo Release Consent

I hereby grant permission to The Brant Curling Club to use photographs and/or video of me taken on club premises or at club events in publications, news releases, website, social media, and in other communications.

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

Injury Waiver

In consideration of acceptance of this registration by the Brant Curling Club ("the club"), I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE the club and each of its members, officers and employees FROM ANY AND ALL claims, demands, damages, costs, expenses, actions and cause of action, whether in law or equity in respect of death, injury, loss or damage to myself or property, arising or to arise by reason of my participation in the Club, that has not been contributed to or occasioned by any negligent act, by omission or commission, of any of the aforesaid.

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

Concussion Awareness and Rowan's Law

I understand that while curling, if I fall and hit my head that I will not be allowed to continue curling and that 911 will be called and my emergency contact listed above will be contacted. Futhermore, this application of membership indicates that I have reviewed the concussion awareness materials available through the Brant Curling's member website (https://members.brantcurlingclub.ca/customPage.php/rowans-concussion - link opens new window).

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

Agreement of Membership

I agree to abide by the rules of membership and the Policies of the Brant Curling Club. I hereby release anyone involved with the Brant Curling Club, staff, volunteer or Board of Director, from any or all claims and causes of action arising from or out of my attendance or participation at the Brant Curling Club. Any personal information collected by the Brant Curling Club will be stored and processed exclusively for the purposes of the Brant Curling Club.

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

Membership Selection Instructions

Select the type of curling activity (Learn to Curl, Brant Member, or Practice Ice)

Membership Selections (no leagues)

	Practice Ice Only: This is for competitive curlers, not playing in any league, but wish to have practice ice priviledges. Total Fee $205.00 (HST included).
	Spare Option - 5 Games Administrative Use Only Please purchase Spare Card at the bar Office will enter the purchase online
	Spare Option - 10 Games Administrative Use Only Please purchase Spare Card at the bar Office will enter the purchase online

Additional Options

Select your Additional Options

	Locker - both Men's and Women's ($44.25 + $5.75 HST = $50.00)
	Installment Plan - ($13.27 + $1.73 HST = $15.00) We now offer monthly pre-authorized payments via credit card. Payments will be amortized over 5 months starting Nov 1, 2025 and ending Mar 1, 2026. Contact the office administration@brantcurlingclub.ca to set up installment plan. Do NOT use the pay now button.

Discount Options

Select your Discount Options

If you completed sufficient volunteer hours last season, select to receive your $50 bar card reward.

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)

BRANT CURLING
34 Morrell St, Brantford, ON, N3T 4J2
administration(at)brantcurlingclub.ca
519-752-3639