Midland Curling Center
2008-2009 Curling League Enrollment
(one person per application form)
Name: _________________________________________________________________
Address: _______________________________________________________________
City/State/Zip: __________________________________________________________
Home Phone: ____________________ Business Phone: ______________________
E-mail Address: __________________________________________________________
Leagues: (check all the leagues you are curling in)
_______ Monday (Open) ________ Thursday Novice ________ Sunday Youth
_______ Tuesday (Women) ________ Friday Mixed _______ Sunday Mixed
_______ Wednesday (Open) ________ Substitute Curling _______ Sunrise League
If paid after
Fees: Registration # Fee Dec 1/08 Total
Novice Curler - 8 wk 17505B $88 $96 ___________
First Season Curler 17500A $170 $180 ___________
Veteran 1 League 17501A $245 $255 ___________
Veteran 2 + Leagues 17502A $370 $380 ___________
Junior (student >18yrs) 17504A $120 $130 ___________
Substitute 17505A $90 $100 ___________
Sunday Youth (<18yrs) 17506A $60 $70 ___________
Total Fees $ ___________ A
Membership Dues: Great Lakes Curling Association & USCA
– benefits include playdown eligibility and US Curling News Subscription
Individual 17507A $30.00 ____________
Couple 17507B $55.00 ____________
Junior (14 to 21 yrs) 17507C $27.00 ____________
Youth (13 yrs and under) 17507D $13.00 ____________
Total Membership Dues $ ____________ B
Total Fees and Dues (A+B) $
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Deliver Enrollment Form and Payment to the Midland Community Center