New Account SetupUsername Password Enter Password Confirm Password Strength indicator User InformationName(Required) First Last Phone(Required)Email(Required) Date of Birth(Required)MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920SexMaleFemalePrefer not to AnswerHiddenAgeUsed to automatically apply the junior discount (if under 21)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Membership InformationMembership Category(Required)PremierBasicPay-as-you-goSocial Member (only valid for six Months)Year You Started Curling(Required) Have you taken a Learn to Curl with us or elsewhere or curled before?(Required) Yes No List me in the Directory(Required) Yes No HiddenPremier Membership Monthly RateHiddenBasic Membership Monthly RateCurrent Date MM slash DD slash YYYY HiddenFirst Day of Sept. re-starts the pro-ration. MM slash DD slash YYYY The year is irrelevant because we subtract that laterHiddenYears to subtract for Pro-rateTo be used for prorationHiddenMonths for Pro-rateTo be used for prorationWaiver Name Signature Actions Edit Delete There are no Waivers. Add Waiver Maximum number of waivers reached. Fees and DiscountsPay-up-Front Fee Price: $0.00 Social Membership6 month membership Price: Junior Curler Discount (Under 21 Years Old) $0.00 This registration is for an additional Family Member Yes No Please Select an Already Registered MemberabioticabuczkiewiczadamAdam MelcherAdele Langloisaggiez98Alexander GuydoshAlyssa RoetheliAmanda BartellanderspAndrew DuncanAnthony MartinezApril McCormackArnieAshley Ryanawleasebarnhardtmichael@gmail.combbadgerBen HoppebenjaminkalkbenjaminozimekBraxton MealeyBrett MitchelsonBrian BarkerBrian OzimekBuck KrawczykCaitlin RoetheliCammie Ridercarl_bellerCatherineCharles MooreChelsea CarrckuceraColin Bowmancolin_koppencurlemwillDaniel SuttonDarin HenleyDawn KddanenfelzerDelaneydennis_dunnDevyndylanlawrence83Ed Wiltselprez1995Eric BroekhuisfreepizzagarynewgordGeorge McCormackGregory GottsackerHattiHazel BestHeth OwenHoward ElandJacob MooreJames GolabJames Hicksjason_dixonjballyJeffrey OuelletteJenny LoehlinJeremy Shulljoe_glaeserjoey_chenJohn AlgoodJon Racinskasjonathan_leejputnajustin_curlesskandermanKenneth Poklitarkg4hdqkipkillsknewgordkurtlyellLandon Russelllindsey_schmidtlisa.calderljscheibleMark Gardnermartymattcortismichael.simpsonmichele_apariciomidori_tanakamrgriffmrsschweiger15nicoleisholm@gmail.comonewgordParpat_popovichphoebe_haganqhoinoskirebecca_shoopRobert GuydoshRobert WoodRyan MaasRyan VanderlipSam RiderSamanthasandman8962Scott McCaskillscott smylieShari BrownShelley HendershotSue BrickerSusan Itothomas_pronskeTim Deantloomis21Tracy Whitetreverdesautelwdlawrence73Will Bestzac_granthamAdditional Family Member Discount $0.00 Payment InformationCoupon Total Payment Method(Required)Pay Online (PayPal)Pay OfflinePayment MethodPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name HiddenIs Active Curler HiddenHome Curling Club HiddenYear at Home Curling Club PhoneThis field is for validation purposes and should be left unchanged.