Acton Curling Club
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REGISTRATION FORM FOR THE 2017-2018 CURLING SEASON

STEP 1 OF 3: Enter registration details

Note that all required fields are marked with **


Enter 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, the applicant or parent/guardian completing the application on behalf of a child, hereby consent to the use of the personal information provided for membership purposes, for publication in the membership directory and/or website, and for continued email communication purposes.  This information is intended for the sole use of Club and will not be shared outside the Club.  I also agree to the Member Code of Conduct outlined below.

 

Member Code of Conduct

I, the applicant or parent/guardian completing the application on behalf of a child, hereby agree to follow the Member Code of Conduct.  The purpose of the Code of Conduct is to encourage a safe, pleasant, respectful, and courteous atmosphere at the Acton Curling Club, both on and off the ice.  This governs only members(hereafter referred to as individuals").  

All individuals have a responsibility to refrain from behavior that constitutes harassment or violence.  This is defined as comments, conduct or actions directed towards an individual or group, which is offensive, abusive, racist, sexist, degrading or malicious.  This may include but is not limited to the following:

  • Written, verbal or physical abuse, threats or outbursts;
  • The display of material that is offensive or ought to be known as offensive;

  • Unwelcome, condescending, degrading, rude, inappropriate or patronizing actions, behaviour, language, remarks, jokes, comments, innuendos, or taunts including the use of physical force;

  • Leering or other suggestive or obscene gestures or actions; or

  • Retaliation or threats of retaliation against an individual who reports harassment.

Members, guests and employees may submit a confidential complaint in writing or in person to the Conduct Committee.  The Conduct Committee will investigate the incident and make recommendations for consideration by the Board of Directors.  Failure to follow either the letter or spirit of the Code of Conduct may result in actions taken including but not limited to increasing awareness, suspension of privileges, and/or expulsion from the club.  Decisions may be appealed by writing a letter in support of the appeal to the Board of Directors.


Injury Waiver: **

In consideration of acceptance of this registration by Club ("the club"), I, the applicant or parent/guardian completing the application on behalf of a child, 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.


Registration Selection: **

STEP 1:  Please select the membership type by checking on the appropriate round checkbox and select the appropriate fee rate for the membership type.   

STEP 2:  Select the league(s) you'd like to join by checking all the square checkboxes (i.e. Men's, Ladies, etc.).  Please note that we are introducing a Mixed Doubles League for both General Adult and Day Time curlers Wednesday's from 1pm to 2:30pm.  The Acton Curling Club is offering both of  these new Leagues as an introductory category at no charge to all curlers. The Learn to Curl League may also be selected if you are curling in this League.

STEP 3:  Please enter team member name(s) (first and last name) for Choose Your Own leagues.  Each team member must submit their own registration.  Not on a full team or registering as an individual?  Type the word “Assign” in the empty position(s) to indicate you would like to be assigned to a team or "TBD" to indicate you will find a player to fill the position.

STEP 4:  Select the Additional Registration Options (e.g. 50/50 Prepaid, Locker, Non-Volunteer Fee, etc.) and select the Registration Discount Options that apply (e.g. Couple Rate).    

STEP 5:  Click on the Validate Registration and Calculate Fees button, review your registration, and then click on the Complete Registration button.  You may click on the Print and Email Registration button to receive a copy of your registration.  Please note:  this does not guarantee that your registration has been accepted.  

STEP 6:  Your registration will be reviewed and processed.  Once completed, a copy of your registration will be emailed to you again as a means to confirm your registration.  Fees must be paid on or before October 1st. in order to participate in any league(s) unless special arrangements have been made with the Acton Curling Club Treasurer.  A $30 late fee will apply for payments made after September 30th.  Cheques may be mailed to the Club (Attention Registration) or by visiting the Membership Registration, main floor,  at our Open House on Saturday, September 23rd between 11:00 a.m. and 3:00 p.m.   Note:  2017-18 Members have until September 15th to guarantee lockers from last season.  Win a Free Membership!! Pay membership fees by July 26th to qualify for a free membership draw to take place in August.

STEP 6:  Once your membership has been processed, you can create a login ID and password so you can access the Members Only portions of the website.   

Please contact Percy Harding at membership@actoncurlingclub.com if you have any questions or concerns.

League Curling

Adult General Membership - 3 options available: * (a) Full Membership Fee -any adult day and evening leagues at $402.65(+HST), incl. Mixed Doubles (b)  New Member Fee -one adult day or evening league at $203.54(+HST), may select Mixed Doubles (c) Student Under. 25 -students 16 to 25 playing in any evening leagues at $199.12 (+HST) incl Mixed Doubles. Student ID required.   

*First two opt incl. $25

Discounts apply to this membership - select the appropriate discount below.  Select the Membership Fee using the drop down box below.

Men's League - Plays on a rotating basis on Mondays at 6:45 p.m., 9:00 p.m. and Sundays at 7:00 p.m. (if required).  This is a choose-your-own team league.  If registering as an individual, please indicate "assign" in the blank positions so the convenor will attempt to assign you to a team.   Note:  The final timeslot (Sundays at 7:00 p.m.) will be determined based on the number of registrations.

Notes for Convenor (Mens League): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Ladies' League - Tuesdays at 7:30 Only.   Members can join as a team or as individuals.  The popularity of this league may result in an additional draw being addedNote:  If registering as an individual, please indicate "assign" in the blank positions so the convenor can assign you to a team. 

Notes for Convenor (Ladies League): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 
Alternate: 

Wednesday Mixed Social - This League is for Wednesdays at 6:45pm ONLY until 8:45pm. 

Notes for Convenor (Wednesday Mixed Social): 

Wide Open Wednesday (WOW)This League will begin at 9:00 p.m.  This is an open league and teams can be made up of any gender combination.  Members can join as a team or as individuals.  Note:  If registering as an individual, please indicate "assign" in the blank positions so the convenor can assign you to a team.

Notes for Convenor (Wide Open Wednesday): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Thursday Mixed Social - Thursdays at 6:45pm only.

Notes for Convenor (Thursday Mixed ): 

Friday Mixed - Fridays alternating between 6:45 p.m. and 9:00 p.m.  Members can join as a team or as individuals.  Note:  If registering as an individual, please indicate "assign" in the blank positions so the convenor can assign you to a team.     

Notes for Convenor (Friday Mixed): 
Skip: ** 
Vice-Skip: ** 
Second: ** 
Lead: ** 

Mixed Doubles League 1 spots left  
Notes for Convenor (Mixed Doubles): 

 

Day/Seniors Membership - limited membership to adult day leagues only.  There are three options:  (a) Day Senior Membership Fee - Costs $288.50 (+HST)  includes the mandatory building fund fee of $25.00 and the Mixed Doubles League and (b) Day Senior Snowbird Membership Fee - Costs $172.83 (+HST) and players play 12 weeks or less and (c) Day/Senior New Membership Fee - Costs $240.00 includes HST and the mandatory building fund fee of $25.  Discounts apply to this membership for couples - please select the appropriate discount on the - registration form.  

Day / Seniors League - Tuesdays and/or Thursday at 8:00 a.m. and/or 10:00 a.m.  Members show up when they are available to play, and teams are drawn.  Members who wish to only play in this league can apply for an individual membership or couple membership discount.  Please select the appropriate discount on the registration form.     

Notes for Convenor (Day Seniors): 

Seniors Mixed Doubles  0 spots left
Notes for Convenor (Mixed Doubles-Seniors League): 

 

Youth Membership2 options available:  (a) Junior 17-20 Individual Membership - membership for the youth league only at $106.19 (+HST), and (b) Youth Under 17 Individual Membership - membership for the youth league only at $84.96 (+HST).   Select the Membership Fee using the drop down box below.

Bantam / Little Rocks League - Tuesday at 5:30 p.m.  This league is for youth age 6 to 16.

Notes for Convenor (Bantam Little Rocks): 

Juniors League - Tuesdays at 5:30p.m.   This league is for youth age 17 to 20.

Notes for Convenor (Juniors): 

 

Learn to Curl -  This membership type is available for those new curlers who wish to learn the proper methods of ice safety, sweeping, delivery of rocks, and the appropriate ethics of team positioning.  This program is typically available the first week subsequent to the start of the curling season, currently in October and has a duration of approximately 6-8 weeks.  Supervision is provided by seasoned curlers who are able to properly teach this program and manage the individuals to the transition of League play as defined by the Acton Curling Club.

Learn to Curl - this is a new curling experience for all new curlers in that they will learn how to properly perform the elements of curling.  This League is planned to start in Mid-October on Sunday afternoons from 2pm to 4pm.
Notes for Convenor (Learn to Curl (LTC) League): 

Special Membership Options

Adult Associate Membership - member can play in Ontario Curling Association events only, but will not be able to play or spare in any league(s).  The cost of this membership is $97.35 (+HST).

Special Olympics - Olympians can participate in the Special Olympics program.  The cost for this program is $48.67 (+HST).

Student Associate Membership - student member (under 25) can play in Ontario Curling Association events only, but will not be able to play or spare in any league(s).  The cost of this membership is $48.67 (+HST).


Additional Registration Options


50/50 Prepaid - never have to worry about missing out on the weekly 50/50 draw - you can prepay for the entire season!!  Money raised through the 50/50 helps in a number of projects around the club including maintenance, etc.  The cost is $48.00. 

Lifetime Initiation - Year 2 - this applies to all new adult day and evening members in their second year of curling.  The cost is $100.00 and must be paid at a rate of $25.00 per year in years 2 through 5.  This fee will be added by Memberships if required, but it is not required for Students. 

Lifetime Initiation - Year 3 - this applies to all new adult day and evening members in their third year of curling.  The cost is $100.00 and must be paid at a rate of $25.00 per year in years 2 through 5.  This fee will be added by Memberships if required, but it is not required for Students. 

Lifetime Initiation - Year 4 - this applies to all new adult day and evening members in their fourth year of curling.  The cost is $100.00 and must be paid at a rate of $25.00 per year in years 2 through 5.  This fee will be added by Memberships if required, but it is not required for Students. 

Lifetime Initiation - Year 5 - this applies to all new adult day and evening members in their fifth year of curling.  The cost is $100.00 and must be paid at a rate of $25.00 per year in years 2 through 5.  This fee will be added by Memberships if required, but it is not required for Students. 

Locker - a limited number of lockers are available.  The cost is $22.12 (plus HST) for the season.  This fee may be removed by Memberships if lockers are not available.

Non-Volunteer Fee - The Acton Curling Club is a volunteer run club and as such, members are required to volunteer a minimum of ten (10) hours each season.  Members who do not wish to volunteer will be charged a $100.00 non-volunteer fee as approved at the 2016 Annual General Meeting.  If you agree to volunteer and fail to do so during the season, the non-volunteer fee will be applied to your registration the following year.    


Registration Discount Options

Please select the appropriate option:

Adult General Couple Discount - for couples who are in a conjugal relationship as per the Ontario Family Law Act.  Both individuals must apply for a General Membership to be eligible for this discount.  Discount is $48.67 per person.  Please include the name of your partner in the Notes to Convenor section.

Day/Senior League Couple Discount - for couples who are in a conjugal relationship as per the Ontario Family Law Act.  Both individuals must apply for a Day Seniors Membership to be eligible for this discount.  Discount is $26.55 per person.  Please include the name of your partner in the Notes to Convenor section.

Extra Player Discount - can join a team in one a team entry league.  The team must have a minimum of three (3) permanent members and two (2) players classified as Extra Players.  These individuals can only participate in one league and may not spare.  The cost is $252.21 excluding HST.  Discount is $150.44 off the Adult General Membership price excluding HST.

Day/Senior League Snowbird - this indicates that you are a snowbird and will be away for part of the curling season.  You may apply for a partial refund at the end of the curling season by contacting the Day/Senior League Board.

Student General (under 25) Discount - only available to Students under 25 years of age who are General Members.  Student ID will be required.  The general membership fee for this student category is $199.12 before HST which has been discounted by $230 including HST.  This new fee has already been discounted therefore will not appear as a discount on the registration fee.

 



Profile / Other Information:

First Aid/CPR Certified   

Smart Serve Certificate   


Registration Accuracy Confirmation: **

I hereby confirm that the information I have entered on this form is correct and true.  I understand that if I have intentionally entered false information in this form to receive discounts that do not apply to me there will be a $25 administration charge on top of the outstanding membership dues owed.    

In the case of a minor, the parent/guardian completing the form on behalf of the child confirms the information entered on this form is correct and true.  The parent/guardian understands that if they have intentionally entered false information in this form to receive discounts that do not apply to them, there will be a $25 administration charge on top of the outstanding membership dues owed.    

Fees must be paid on or before October 1st in order to participate in any league(s) unless special arrangements have been made with the Acton Curling Club Treasurer.  Cheques may be mailed or dropped off at the Club (Attention Registration) or dropped off at the Grand Opening of our club on Saturday Sept. 23rd from 11:00am to 3:00pm.



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