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 Purchase Membership and/or Register Team CLUB MEMBERSHIP – Park City Curling ClubPurchase Club Membership QuantityClub membership dues include PC Curling Name Tag for new members, Club Pin, USCA Membership & US Curling News Magazine, MOPAC Membership, USWCA Membership for women, Club Insurance, Club Social Events, and eligibility to compete in regional and national competitions. Dues run for each calendar year. There is no prorating of club dues. Dues submitted after September 1 will be valid through the next calendar year. Price: $50.00 Quantity Name(Required) First Last Team Name Email(Required) Phone(Required)Date of Birth(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Review Code of Conduct Review Participant ReleaseAgreement(Required) I agree to the Park City Curling Club Code Of Conduct and Participant ReleaseTEAM Registration – Park City Curling ClubPurchase Team Registration QuantitySkipper or Vice Skipper, when registering your team, please fill in all player information below. NOTE: Each player will still need to purchase a Park City Curling Club Membership separately and accept the Code of Conduct / Participant Release herein. Price: $600.00 Quantity Player One Name – Skipper First Last Player Two Name – Vice Skipper First Last Player One Email Player Two Email Player Three Name First Last Player Four Name First Last Player Three Email Player Four Email Player Five Name First Last Player Six Name First Last Player Five Email Player Six Email TOTAL DUE and PAYMENT InformationTotal I hereby grant the Park City Curling Club (PCCC) permission to send me occasional emails and other communications.Credit Card
