La Ronge Curling Club Registration AWS

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La Ronge Curling Club Registration Fees: $ 150/person, $85/youth or $ 600/team & Extra League/2nd Night: $100 Wednesday Night Stick Curling Fees: $50 Oct. – Christmas & $50 Jan – Year End Check off: _____ Monday Draw _____Tuesday Draw

____Wed. Draw (Stick League) Individual or Pair ____Thursday (Super League) Draw

Name of Team: _________________________________________________

SKIP: ________________________________________________ Civic & Mailing Address: _______________________________________________ Phone: _____________________ Fax: _____________________ Email: __________________________________________ THIRD: ________________________________________________ Civic & Mailing Address: _______________________________________________ Phone: ________________________ Fax: _____________________ Email: ___________________________________________ SECOND: ________________________________________________ Civic & Mailing Address: _______________________________________________ Phone: _______________________ Fax: _____________________ Email: ___________________________________________ LEAD: ___________________________________________________ Civic & Mailing Address: _______________________________________________ Phone: _________________________ Fax: _____________________ Email: ___________________________________________ SPARE: ___________________________________________________ Civic & Mailing Address: _______________________________________________ Phone: _________________________ Fax: _____________________ Email: ___________________________________________ ALL Fees payable to the Town of La Ronge (including Thursday night Super League) NOTE – Please include your cell phone number if you would like to receive texts regarding any Town of La Ronge information.

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