Midland Curling Center 2011-2012 Curling League Enrollment
(one person per application form)
Name: _______________________________________________________________________________
Address: ________________________________________ City/State/Zip:_________________________
Home Phone: ___________________________________ Business Phone: _____________________
E-mail Address: ________________________________________________________________________
LAdult Leagues: (circle all the leagues you are curling in)
Monday (Open) Thursday Sunrise Thursday (Open) Sunday (Open)
Tuesday (Women) Wednesday (Open) Friday Mixed Substitute Only
Adult Novice league: Thursday Novice
Junior Leagues: Ages 11 – 21 (circle all the leagues you are curling in)
Sunday Afternoon Monday Afternoon Wednesday Afternoon
FEES: **$10 late fee added if paid after Nov 30, 2011 (Late fee does not apply to Novice
Continuation)
Registration # Fee ** Total
Novice Curler-Nov/11-Jan/12 17505B $88 _____
Novice Curler-Jan/12-Mar/12 17505D $88 _____
Novice Continuation - Jan/12-Mar/12 17505E $88 _____
First Season Curler 17500A $170 _____
Veteran 1 League 17501A $245 _____
Veteran 2 + Leagues 17502A $370 _____
Substitute 17505A $90 _____
Junior in 1 Junior League 17510A $60 _____
Junior in 1 Junior & 1 Adult League 17510A $180 _____
Junior in 1 Junior & 2+Adult Leagues 17510A $245 _____
Junior in 2+ Junior Leagues 17510B $100 _____
Junior in 2+ Junior & 1 Adult League 17510A $220 _____
Junior in 2+ Junior & 2+Adult Leagues 17510A $285 _____
Junior in 1 Adult League 17504A $120 _____
Junior in 2+ Adult Leagues 17506A $185 _____
Total Fees $ ____________ A
Membership Dues: Great Lakes Curling Association & USCA & USWCA
– benefits include playdown eligibility and US Curling News Subscription
Individual 17507A $30 ____________
Couple 17507B $55 ____________
Junior (14 to 21 yrs) 17507C $27 ____________
Youth (13 yrs and under) 17507D $13 ____________
Total Membership Dues $ ____________ B
Total Fees and Dues $ A+B
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Deliver Enrollment Form and Payment to the Midland Community Center
League Enrollment Description Sheet
Novice Curler – Thursday Novice
Novice Continuation Curler – Thursday (Open)
First Season Curler – Any number of adult leagues – No males on Tuesday (Women)
Veteran 1 League – 1 Adult league
Veteran 2+ Leagues – Any number of adult leagues – No males on Tuesday (Women)
Substitute – Can sub in any adult league
Junior in 1 Junior League – 1 Afternoon junior league
Junior in 1 Junior & 1 Adult League – 1 Afternoon junior & 1 adult league
Junior in 1 Junior & 2+ Adult Leagues – 1 Afternoon junior & any number of adult leagues
Junior in 2+ Junior Leagues – Any number of afternoon junior leagues
Junior in 2+ Junior & 1 Adult League – Any number of afternoon junior & 1 adult league
Junior in 2+ Junior & 2+ Adult Leagues – Any number of afternoons junior & any number of adult leagues
Junior in 1 Adult League – 1 adult league
Junior in 2+ Adult Leagues – Any number of adult leagues
Last Update: Sep 20 , 2011