This page is not intended for Adult Learn to Curl Participants. If you are interested in Adult Learn to Curl you will need to register in the “Events Registration” section once the registration from is available.

Registration Form - 2017-2018

• Personal Information
• Curling Information

If you are human, leave this field blank.

I am: *

Registering for the first time (includes former members who did not register for the 2016-2017 curling season)

Returning Member (Registered for the 2016-2017 curling season)

If you chose option 2, you MUST log in using your username and password before continuing to avoid duplicate registration. CLICK HERE to log-in.

Personal Information

First Name *

Last Name *

Email Address *

Confirm Email Address *

Please enter a valid email address. If you do not have a valid email address please use [yourfullname]@curlmoncton.ca and we will contact you by phone regarding your payment.

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Primary Phone *

Second Phone

Gender * Female Male

Age Range * 6-11 12-20 21-30 31-40 41-50 51-60 61+

Date of Birth *

Occupation

Membership Information

Parent/Guardian Contact Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Phone Number *

Emergency Contact Information

Emergency Contact Name 1

Emergency Contact Phone Number 1

Emergency Contact Name 2

Emergency Contact Phone Number 2