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REGISTRATION FORM FOR THE 2016-17 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 hereby consent to the use of the personal information provided above by the Green Bay Curling Club administration. My name, phone numbers and email will be listed in the membership directory for the sole use of the Green Bay Curling Club and it's members and will not be shared or used for any purpose except club business. I understand that if I do not want to share my email address with other club members, I can turn off the sharing by updating my member profile.

Injury Waiver: **

In consideration of acceptance of this registration by Club ("the club"), I 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: **

2016-2017 Season

To register For ALL GBCC LEAGUES:
- select GBCC Membership (round check-box)
- then select a square check-box for each league that you plan to curl in (fill in name(s) or ASSIGN if unknown).
- NOTE: Curlers must register individually so we have accurate contact information in our membership database. Listing your teammates lets us know you plan to curl together but does not register them for the season.
Social Members, scroll down to Social Membership and select round check-box.
Make selections from the Registration Discount Options (only ONE discount per person)
Follow the steps to confirm and verify your registration.
Payment options and instructions are found at the bottom of the registration form and will repeat in your confirmation email.

League Curling
	GBCC Membership Unlimited leagues for regular season (Nov - March), with options to sub (spare); access to club facility; memberships in Wis. State Curling Association, Wis. Badger Women's Curling Association, U.S. Women's Curling Association and U.S. Curling Association with eligibility to curl in state, regional, national and international competitions; USCA Curling News subscription; access to the members-only section of this web site. $265 before discounts, plus sales tax. Check discount options at the bottom of the registration form to see if you qualify for a reduction in dues (not all membership options available with discounts).
		Monday Open League: Fun, competitive league. Open format (any combination of men and/or women). Prior season teams have first priority for registration. On a team? Fill in remaining positions with teammates' names. To sign up as an individual, put your name in the position you wish to play & fill in remaining positions with ASSIGN. Curlers/teams new to this league should check availability with the league chair as this league is usually full. Contact information can be found on the Monday League Page. Notes for Convenor (Monday Open League): Skip: Vice-Skip: Second: Lead: Alternate One: Alternate Two:
		NEW! Sturling (STick cURLING) League. A Tuesday afternoon recreational league in 2--person stick, open format (any combination of men & women) which provides equity for those physically unable to attain the sliding position. Sign up as an individual. Schedule is weekly Nov. 15-Dec. 20, 2016. Visit the League Page for further details, the Sturling Rules, and to contact the league chair. IF THIS IS YOUR ONLY LEAGUE, BE SURE TO SELECT ONE OF THE LIMITED LEAGUE DISCOUNT OPTIONS BELOW. Notes for Convenor (Sturling League):
		Tuesday Men's League: Fun, competitive league for men only. Prior season teams have first priority for registration. If you are on a team, fill in remaining positions with teammates' names. To sign up as an individual, put your name in the position you wish to play & fill in remaining positions with ASSIGN. Curlers/teams new to this league should check availability with the league chair as this league is often full. Contact information can be found on the Tuesday League Page. Notes for Convenor (Tuesday Night League): Skip: Vice-Skip: Second: Lead: Alternate One: Alternate Two:
		Wednesday Men's League: Fun, competitive recreational league for men only. Prior season teams have first priority for registration. If you are on a team, fill in remaining positions with teammates' names. Teams are subject to approval by the league chairman. To sign up as an individual, put your name in the position you wish to play & fill in remaining positions with ASSIGN. The league chair will help you find a team. Contact information for the league chair is found on the Wednesday League Page. Notes for Convenor (Wednesday Night League): Skip: Vice-Skip: Second: Lead: Alternate One: Alternate Two:
		Thursday Women's League: Fun recreational league for women only. Sign up as a team (fill in remaining positions with teammates' names) or as an individual (put your name in the position you wish to play & fill in remaining positions with ASSIGN). Visit the Thursday Women's League page for more information. Notes for Convenor (Thursday Womens League): Skip: Vice-Skip: Second: Lead: Alternate:
		Thursday Open Fall League: Fun 9 week league for new curlers to get real game experience. Runs Nov. 10, 2016 to Jan. 19, 2017. Open format (any combination of men and/or women) with instruction if requested. Visit the LEAGUE PAGE for details and to contact the league chair. To sign up as an individual, put your name in the position you wish to play & fill in remaining positions with ASSIGN. If you are on a team, fill in remaining positions with names of your teammates. IF THIS IS YOUR ONLY LEAGUE, BE SURE TO SELECT ONE OF THE LIMITED LEAGUE DISCOUNT OPTIONS BELOW. Notes for Convenor (Thursday Open Fall League ): Skip: Vice-Skip: Second: Lead: Alternate One: Alternate Two:
		Thursday Open Spring League: Fun 9 week league for new curlers to get real game experience. Runs Jan. 26, 2017 - March 23, 2017. Open format (any combination of men and/or women) with instruction if requested. Visit the LEAGUE PAGE for details and to contact the league chair. To sign up as an individual, put your name in the position you wish to play & fill in remaining positions with ASSIGN. If you are on a team, fill in remaining positions with names of your teammates. IF THIS IS YOUR ONLY LEAGUE, BE SURE TO SELECT ONE OF THE LIMITED LEAGUE DISCOUNT OPTIONS BELOW. Notes for Convenor (Thursday Open Spring League): Skip: Vice-Skip: Second: Lead: Alternate One: Alternate Two:
		Friday Fun League: Curl with your friends in this fun, recreational league. Schedule is approximately biweekly. Open format (any combination of men and/or women). Visit the LEAGUE PAGE for details and to contact the league chair. To sign up as an individual, put your name in the position you wish to play & fill in remaining positions with ASSIGN. If you are on a team, fill in remaining positions with names of your teammates. IF THIS IS YOUR ONLY LEAGUE, BE SURE TO SELECT ONE OF THE LIMITED LEAGUE DISCOUNT OPTIONS* BELOW.* Notes for Convenor (Friday Fun League): Skip: Vice-Skip: Second: Lead: Alternate:
		Sunday Mixed League: This is a recreational league in the traditional mixed format (two men and two women, alternating positions). Schedule is approximately biweekly. Visit the LEAGUE PAGE for details and to contact the league chair. To sign up as an individual, put your name in the position you wish to play & fill in remaining positions with ASSIGN. If you are on a team, fill in remaining positions with names of your teammates. IF THIS IS YOUR ONLY LEAGUE, BE SURE TO SELECT ONE OF THE LIMITED LEAGUE DISCOUNT OPTIONS* BELOW.* Notes for Convenor (Sunday Mixed ): Skip: Vice-Skip: Second: Lead: Alternate One: Alternate Two:
		Saturday league for High School students Notes for Convenor (High School League):

Special Membership Options

Social Membership. Club supporter membership. No league play. $45, plus sales tax. Does not include club key, locker, Curling News or memberships in the national organizations. (National membership dues are $35 extra. If you would like to receive the Curling News, support the state and national organizations and be eligible to curl in the events they sponsor, select the State and National Dues option under Additional Registration Options to include the payment with your registration.)

Practice Only Membership Full benefit membership for those who cannot curl in a league but still want to access to the ice for practice. $265, plus 5% sales tax.

Registration Discount Options

ONE discount per curler

EARLY PAY DISCOUNT ONLY APPLIES TO DUES FOR FULL SEASON LEAGUES.
Note: each Limited League will be charged at the discounted price, (i.e., 1 Limited League=$120; 2 LL's=$240; 3 LL's=$360 for 2nd year & up curlers.).
The registration form will not calculate this correctly and your final cost will be adjusted on your invoice.
Curlers in 2 or more limited leagues may pay full season dues ($265 or $250 by Nov. 1st) if the amount is less.
Sales tax will also be adjusted as necessary at invoicing.

	1st Year Curler Discount: full season leagues (M-Th, Nov.-March). Discount $45, final price $220, plus tax. Select this discount if you are new to the sport of curling and have never been a member in any other club. Full benefit membership; reduced rate is to encourage purchase of a personal slider and broom. New Curler Discount cannot be combined with the Early Pay Discount.
	Student Discount: full season leagues (M-Th, Nov.-March). Discount $165, final price $100, plus tax. For full time students of any age who want to curl in the Monday-Thursday weekly leagues for the full season. Students must submit proof of enrollment if requested. Students under 21 years of age will not be issued a club key.
	LIMITED LEAGUES - 1st Year curler discount. Discount $165, final price $100 plus tax. Discount for 1st year curlers in ONE limited season league (Thursday Open, Friday Fun or Sunday Mixed). Does not include club key, locker, Curling News or memberships in the state and national organizations.
	LIMITED LEAGUES - 2nd year & up discount. Discount $145, final price $120 plus tax. Discount for 2nd year and up curlers in ONE limited season league (Thursday Open, Friday Fun or Sunday Mixed). Does not include club key, locker, Curling News or memberships in the state and national organizations.

Registration Accuracy Confirmation: **

I confirm that the information I have entered is correct.

I understand that the Early Pay discount applies only if my Full Season Dues are paid in full on or before November 1, 2016.

I understand that my registration will be adjusted and I will owe the adjusted membership dues if I have selected discounts that do not apply to me or I have selected 2 or more limited leagues (see explanation at the top of the Discount section above).

Please pay your Dues by your first league game.

Payment can be made by check or online thoughour QuickBooks accounting system, a no charge, secure bank-to-bank billpay option using PaymentNetwork, a service from Intuit (makers of TurboTax, QuickBooks and Quicken). Credit cards will not work for the online payment option.

Once your registration is checked, we will send an invoice to the email address in your member profile. You may then pay by check or online.

If you wish to pay online, the invoice you receive will have an link to use for the the bank-to-bank billpay option.
To pay by check:
- Make checks payable to Green Bay Curling Club, Inc.
- Drop in the lockbox at the club or mail to the GBCC Treasurer JJ Rhyme, 234 Innsbruck Ct., Green Bay, WI, 54302.
- NSF checks will be charged all fees necessary to cover GBCC bank fees. Membership will be inactivated until the matter is resolved.
Need a payment plan? GBCC wants you as a member and we are willing to help you put together a payment plan that meets your needs.
- Your payment plan must be in place and the initial payment received by your first league night.
- Contact us at gbcurling@gmail.com to set up your plan.