College Curling 2017-18
ALL College members of the Utica Curling Club MUST fill in the following form by the second week of curling, show a valid college ID, and form of ID with date of birth (if your school ID does not), and a signed Participant release form. Students under the age of 18 by the first day of curling (October 15, 2017) MUST have the release form signed by a legal parent or guardian. All college members must bring $60 dues in cash by the second week, or arrange with M.J. Walsh to provide an invoice that your school will pay. Any college students joining as Associate members, use the regular membership form which you can download from the "Join Us" page of http://uticacurlingclub.org

School mailing address means where you receive your mail while at school. If you live off campus, that's the address you should enter. School email address should have your school name in it. Please do not use your personal email - you can always set up a forwarder. ;-)

First Name *
Your answer
Middle name or initial *
Your answer
Last name *
Your answer
School *
Your answer
School mailing address, street *
Your answer
School mailing address, P.O. Box/Apt no. (enter NA if not applicable) *
Your answer
School mailing address, City *
Your answer
School mailing address, State *
Your answer
School mailing address, Zip Code *
Your answer
Gender (select preferred gender) *
Cell Phone *
Your answer
School email address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Status (college plus is not guaranteed) *
Expected year of graduation *
Your answer
Club Communication Do you want to receive email announcements of curling events, news, and announcements from the Utica Curling Club? *
Fee (includes USCA, GNCC, & USWCA dues). College Plus members will pay and additional $60 if assigned to a team.
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