Victorian Curling Association Membership Registration Form 2019

Full Season (16 weeks) including Membership - Adult $450 Full Season (16 weeks) including Membership - Junior/Wheelchair $250 Half Season (8 weeks*) Green League (School Term 2) including Memb. - Adult $275 Half Season (8 weeks) Gold League (School Term 3) including Memb. - Adult $275 Half Season (8 weeks*) Green League (School Term 2) including Memb. - Junior/Wheelchair $150 Half Season (8 weeks) Gold League (School Term 3) including Memb. - Junior/Wheelchair $150 Membership only - Adult $50 Membership only - Junior/Wheelchair $30

Members, team name, season

Learn to Curl Program (4 weeks) including Membership - Adult $100 Learn to Curl Program (4 weeks) including Membership - Junior $60 Learn to Curl Program (4 weeks) (already Member) - Adult $50 Learn to Curl Program (4 weeks) (already Member) - Junior $30

See link: http://www.curlingvictoria.org.au/calendar

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Street Address
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I am of Aboriginal / Torres Strait Islander origin I have a current Working With Children card I DO NOT wish these details to be included on a membership register to be distributed to all members.

Returning league curler Beginners comp participant Come and Try participant Learn to Curl participant Google Facebook Other

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Street Address
Street Address Line 2
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Postcode	Country

Victorian Curling Association Membership and Registration Form 2019

Payment Details

Applicant Details

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Declaration