Youth League Register

Mail to:	Email:
PO Box 1482 rescott, ON K0E 1T0	prescottcurlingclub@gmail.com

Youth - Junior level
$240.00
Young adults ages 17 to 20 will learn and develop their skills throughout the Curling season.
Youth - Bantum
$130.00
All youths ages 13 to 16 will learn and develop their curling skills throughout the season *Bantum crossover fee of $60 per leagur joined (as approved by coach & league convener)
Little Rock Curlers
$115.00
Youth ages 6 to 12 will learn and develop their Curling Skills

Youth League Member

* Username

* First Name

* Last Name

* Email Address

Phone

* Password

Strength: Very Weak

Gender

Male

Female

* Address Line 1

Please enter the street name

Address Line 2

City

Province

Postal Code

Youth members Health Card#

Physician’s Name

Physician’s phone #

* Contact Person

* Relationship to member

* Contact Telephone

* Any Allergies or health concerns?

* RELEASE OF LIABILITY

Guardian of youth member has read and agree to the waiver of Claims and indemnity Agreement and will provide a signed copy to the club

* Rowan’s Law

I have read the Rowan’s Law document for my age group and will provide a signed copy to the club (Guardian signature required)

Guardian of youth members agrees to below statement

*I/we hereby give permission to the coaches of Prescott Curling Centre Inc. to take the youth member listed in this form to the hospital if need be and I/we also give permission to have the child treated by a physician in the parent/guardian’s absence. Further, I/we do hereby waive, release and forever discharge Prescott Curling Centre Inc., its staff, officers, agents, representatives, employees, members and their successors and assigns from any and all claims for bodily injury or property damage whether said accident, injury or loss is due to negligence or not. By checking this box on this form, I/we hereby release Prescott Curling Centre Inc. from any and all possible injuries incurred with respect to the above child while on Prescott Curling Centre premises or attending out-of-town events.

* Media consent

I agree

Photo Consent – I hereby give permission for the above child to have their photograph taken by local news media and/or used for Prescott Curling Centre Inc. publications and will provide a signed copy to the club

File Upload

Drop file here or click to select.

Select Your Payment Gateway

E-transfer, Cash or Cheque

You may make a payment in one of the three below ways. Please indicate which method you will use.

Please send an e-transfer to prescottcurlingclub@gmail.com

Please mail a cheque to PO Box 1482, Prescott, ON K0E 1T0

Pay cash at the Club on September 19th 2023 on our registration night

Payment Mode

Cash

Youth Registration:

Rowan’s Law:

Choose the age group and fill our the below form:

Youth Curling