2016-17 Boston Pizza & Pepsi Interclub Bantam / Junior League
For the 2016 / 17 there will be two options, recreational and under 18 / high school teams in the BP / Pepsi league. Recreation players please reigister as individuals and you will be placed on balanced teams.

U18 / High School Teams need to sign up individually with the name of your skip or school indicated.

ALL ENTRIES TO BE RECIEVED BY OCTOBER 9, 2016 - Curling begins October 16, 2016 at Fort William Curling Club

Last Name *
Your answer
First Name *
Your answer
Gender *
Required
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Years Curled *
Your answer
Preferred Position *
Required
Phone # (home)
Your answer
Phone # (cell)
Your answer
Phone # (alternates ie. work)
Your answer
Email address *
Your answer
Parent Name(s) *
Your answer
Health Card # *
Your answer
Concussion Protocol Sign-Off *
Please indicate if you have a preference of who you would like to curl with
Your answer
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