Membership Information

Username(Required)

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Password(Required)

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Strength indicator

Name(Required)

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Phone(Required)

Email(Required)

Date of Birth(Required)

Sex

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Age

Address(Required)

Street Address Address Line 2 City State ZIP Code

Year You Started Curling(Required)

List me in the Directory

Yes

Season You Started Curling at Racine(Required)

Year you Started Curling at Racine(Required)

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Is Active Curler

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Home Curling Club

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Year at Home Curling Club

Name	Signature	Actions

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Fees	Adult Member	Adult Member (1^stYear)	Adult Member (2^ndYear)	Junior Member
Nightly Leagues	$190	$114	$152
Shorter Leagues Doubles, Sunday, Tues Morning	$163	$99	$131
Juniors League	--	--	--	$51.50
Unlimited Curling	$280	$169	$225