Curling Club of Houston
Throwing Rocks at Houses Since 1973
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REGISTRATION FORM FOR THE Fall 2017 CURLING SEASON

STEP 1 OF 3: Enter registration details

Note that all required fields are marked with **


Enter 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, Privacy Policy and Anti-Spam Policy: **

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 Club and will not be shared outside the Club.


Injury Waiver: **

In consideration of acceptance of this registration by 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.


Registration Selection: **

Select the round check box for the Standard Full Membership for all registrations for the fall. Club membership is required for both league members and spares. The membership cost is $70, which includes your annual USCA dues. Next, select the Saturday night league that you wish to join for the fall. This league costs $300. Eligible members can select the student discount to have this applied to their registration fees.

In the Notes for Convenor, please list any position and teammate preferences or other notes you need to send to the league admin.

League Curling

Standard Full 2017-2018 Membership

This is our weekly fall league. Notes for Convenor (Saturday Fall 2017): 

Registration Discount Options

Students must be under 25 at the end of the fall league and a full time college or grade school student.  Students taking this discount are not full league members and do not have voting privileges and cannot be a member of the board.



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.



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