Individual Registration

Your First Name (required):
Your Surname (required):
Please Select All Applicable Leagues
 Cash Ladder League Tuesday Day Ladies Tuesday Open League Wednesday Day Ladies Wednesday Sr. Drop-In WorksafeBC League Wednesday Men's League Learn to Curl League Airline League Packers League Friday Masters League Friday Social League Friday Mixed League Nisei League Sunday Irregulars League
If possible, please list the team name for each applicable league
Contact Information
Your Contact Email (required)
Your Cell Number (required):
Your Alternate Phone Number:
Address (required):
City:
Postal Code:
Personal Information
Emergency Contact Name (required):
Emergency Contact Number (required):
Birthdate (D/M/Y required):
Player Gender (required):
Membership Information
What memberhsip type do you have?:
Comments:


For Security Purposes, please write the following characters in the input field:
captcha

Vancouver Website Hosting and Website Design provided by Port 80 Solutions