Blackhawk Curling Club Registration

Blackhawk Curling Club 11/12 Registration
  1. Registrant Name*
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    Enter your full name
  2. Additional Name(s)
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    Enter additional full names
  3. Address*
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  4. Contact Number(s)*
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  5. Email(s)*
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  6. Membership Level(s)*









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    Please select membership level(s) by checking each applicable box.
  7. Locker Rental*


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  8. 1st League Selection*
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  9. Your Skips Name
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  10. 1st League Options
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  11. 1st League Participants Name*
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  12. 2nd League Selection
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  13. Your Skips Name
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  14. 2nd League Options
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  15. 2nd League Participants Name
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  16. 3rd League Selection
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  17. Your Skips Name
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  18. 3rd League Options
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  19. 3rd League Participants Name
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  20. 4th League Selection
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  21. Your Skips Name
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  22. 4th League Options
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  23. 4th League Participants Name
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  24. Pay with Paypal*


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    (Note: A Paypal fee of 3% will be added to your total)
  25. Total Registration Fee
    0.00 USD
  26. Registration Security
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  27. Submit
      

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