Card of Intent - Junior - Bantam - Little Rock Curling

Junior/Bantam Curling: Teresa Gibson- 613-544-1497   tgibson@kos.net

Little Rock Curling: Janet Fowlow - 613-5331-0749 afowlow@cogeco.ca

 

Little Rocks: ages 5-11 Sundays 12:00-2:00

Junior/Bantam: ages 11-20 Sundays 2:00-4:30

Name:   Age:

Email:

Health Card No.:

Phone Number:    M/F

 

Parents/Guardians

Parent/Guardian name:

Home Phone: Bus. : Ext:

Email:

I would like to volunteer

 

Parent/Guardian name:

Home Phone: Bus. : Ext:

Email:

I would like to volunteer

 

Other Emergency Contact Information

Name

Phone

 

Notes:

All volunteers working with junior/bantam or little rock curlers are required to provide a Police Record Check including the vulnerable sector. Reimbursement will be provided by RKCC when receipt is submitted.

 

Curlers in the 12:00-2:00 group are required to wear a helmet and will not be allowed on the ice without a helmet. Hockey helmets are highly recommended. Parents of children aged 10 and under must stay at RKCC during the curling times.

 

Registration: Sunday, October 2, 2011 at Royal Kingston Curling Club 1:00 to 3:00 (Registration forms and payment may also be dropped off at RKCC during office hours.)

 

Start date (please register prior to this date): Sunday, October 16, 2011