Hollywood Curling Membership- 2012-2013
Please fill in the following information.  We use this to create our member rosters, and we will respect your privacy!
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First Name *
Last Name *
email address *
Street Address *
City *
State *
Zip *
Home Phone *
Age *
Cell Phone *
Gender *
Ethnicity
Do you require a name tag? *
If you've lost yours or never got one, we'll get you a new name tag. Otherwise, you'll receive a club pin.
Membership Type *
Membership Types
REGULAR MEMBER                                                                           $65.00        

Includes:

Discounted rates on Hollywood Curling leagues & ice vouchers
Membership to the United States Curling Association - check out www.curlingrocks.net for more info
Subscription to “US The Curling News” paper
Eligibility to compete in USCA events and playdowns
Board eligibility and voting privileges
Name tag for first time members, or club pin for renewing members


JUNIOR MEMBERSHIP                                                                    $45.00

Get all of the benefits listed above- for our curlers who are 21 years and under!


PLATINUM MEMBER                                                                       $95.00        

All of the benefits of the regular membership, plus:
Hollywood curling t-shirt
Early-bird league sign ups for all leagues


DUAL CLUB MEMBER                                                                       $30.00        

For those members who already belong to another USCA club:
Name tag for first time members, or club pin for renewing members
Discounted rates on Hollywood Curling leagues & ice vouchers
(Does not include USCA membership)

Volunteering- I'd like to help!
Payment *
If you select Paypal, we will send you an invoice. If you'd like to pay by cash, please bring to the next curling session. You can also mail your checks to PO Box 7872  Van Nuys, Ca 91409
Donations
As our membership grows, so do our operating costs. This is especially true with regard to our equipment.  With your tax-deductible donation-and no amount is too small-we can maintain an inventory of brooms, sliders, scoreboards, stones and other necessary items for our beloved sport.

Be on the lookout for upcoming fundraising opportunities and events!
I'd like to add a tax deductible donation to my membership (please indicate amount):
Find out more about Hollywood Curling
Visit our website at www.hollywoodcurling.com
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