CURLING CLUB OF KINGSVILLE
P.O. Box 403
Kingsville, ON N9Y 2G1
(519) 733-3056
www.kingsvillecurling.com
MEMBERSHIP APPLICATION 2017-2018 (Please fill in all information for our records)
Name______Phone # ______
Address______Town______Postal Code______
E-mail ______
REGISTRATION NIGHT – SEPTEMBER 20th, 2017 6:30 PM
MEMBERSHIP CATEGORY & CURLING FEE’S (including taxes)
(After September 30th fees go up $25.00)
FULL MEMBER $ 415.93 + $54.07 HST = $ 470.00
SINGLE LEAGUE MEMBER (May spare in other leagues at $15/time) $ 349.56 + $45.44 HST = $ 395.00
HALF YEAR MEMBER Fall or Winter (Please circle which) $ 265.49 + $31.51 HST = $ 300.00
“SHIFT WORKER” – On average only able to play every other week $ 265.49 + $31.51 HST = $ 300.00
SECOND CONSECUTIVE YEAR (at Curling Club of Kingsville) $ 340.71 + $44.29 HST = $ 385.00
NEW MEMBER (away from CCoK at least 3 years) $ 207.97 + $27.03 HST = $ 235.00
DAY TIME MEMBER (Tuesday & Sunday mornings and Friday evenings only) $ 207.97 + $27.03 HST = $ 235.00
INTERMEDIATE MEMBER (16-21 years of age as of Sept. 1st) $ 190.27 + $24.73 HST = $ 215.00
Birthday ______(for our records)
HIGH SCHOOL MEMBER (Plays on School team and one adult league) $ 110.62 + $14.38 HST = $ 125.00 Birthday ______(for our records)
SOCIAL MEMBER (no curling) $ 53.10 + $ 6.90 HST = $60.00
JUNIOR MEMBER APPLICATION FORM AVAILABLE – Contact the website
JUNIOR FEES (No HST) – Full Year Member $75.00; Or ½ Year Member $45.00
PAY AS YOU PLAY (Tuesday morning, Sunday morning, or Friday night - $15.00 Per Game)
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CURLING LEAGUE OPTIONS (Indicate choices) PLEASE INDICATE:
MONDAY EVENING MEN’S LEAGUE Preferred position/positions:
TUESDAY MORNING MIXED (&/or $15.00 PAY AS YOU PLAY) Skip Vice Second Lead
TUESDAY EVENING MIXED SKIPS’ ENTRY * Cheques are payable to Curling Club of Kingsville.
WEDNESDAY LADIES Please mail your cheque to the club address
THURSDAY EVENING SKIPS’ ENTRY ** Junior members - Call Stephanie Heaton (519-329-
FRIDAY EVENING DOUBLES (5:30 pm) 0613) with any inquiries
FRIDAY EVENING MIXED SOCIAL *** All memberships other than Pay as You Play,
SUNDAY MORNING 9:30 a.m. Social, Day Time, or Single League includes:
JUNIOR PROGRAM (SUNDAY PMS) UNLIMITED SPARING for other leagues
Signature______
Date______