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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.

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. My name, email, address 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.

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

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.

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

Image Use Permission

The Registrant (and the Registrant's parent/guardian, if applicable) grants permission to photograph and/or record the Registrant's image and/or voice in pictures or videos (collectively the "Images"), and to use the Images to promote the sport and/or the Organizations through traditional media such as newsletters, websites, television, film, radio, print and/or display form, and through social media such as Instagram, Facebook, YouTube, Twitch and Twitter.

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

Membership Selection Instructions

Select the membership type first by checking on the approproiate round checkbox. If registering for a membership type that also has league selections, please check the square checkboxes for the leagues you wish to play in. For CYO (“choose your own”) leagues only, please type the names of all teammates in the textboxes provided for that league on this form, and each member of the team must submit their own form in the same manner (if you are not on a team, type “assign” in the textboxes for the other team members).

Membership Selections (no leagues)

	"Little Rockers" curling program (grades 1 through 5).
	"Juniors" curling program (grades 6 through 12).
	Social member only (no curling).

Additional Options

	Beer Club. Best deal around! For $120 members have the choice of any tap beer available in the club all season long. Must be 21 years old and a club member to join the beer club.
	Banner Ad. For $350 you can have a banner ad displayed at the clubhouse. Please contact the club treasurer if you would like an invoice for your records.
	Website Ad. For $50 you can advertise on this website's home page. Please contact the club communication & advertising director at advertising@milwaukeecurlingclub.com. Also, please contact the club treasurer if you would like an invoice for your records.
	USAC Annual Membership Opt-Out. Select this box if you would not like MCC to register you with the United States Curling Association for this season. You will be required to register and pay the registration fee yourself to be able to participate in USAC-sanctioned events, such as US Nationals and 5-Under.

Discount Options

Learn-To-Curl Discount. For first-year curlers only - tick this checkbox only if you had already attended a recent Learn-To-Curl session this season.

Registration Accuracy Confirmation

I hereby confirm that the information I have entered on this form is correct and true. Payment by credit card is now available! A green "Pay Now" button will be visible on the 3rd webpage after you complete this registration form (1st webpage) and accept the fee calculation (2nd webpage). Otherwise, please make your check, money order or cashier's check payable to "Milwaukee Curling Club" and mail it as soon as possible to the following address:

The Milwaukee Curling Club
PO Box 169
Cedarburg, WI 53012

Please email techsupport@MilwaukeeCurlingClub.com if you experience any technical issue with the registration form and credit card payment service.

Good curling!

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

W67 N890 Washington Ave • Cedarburg, WI 53012 (Ozaukee County Fairgrounds) • info@milwaukeecurlingclub.com • Find Us on Google Maps