Youth Spiel Registration

Wednesday, February 22, 2012

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* = Required

* Division

Team Information: Skip

* First Name:

* Last Name:

* DOB:

* Phone:

* Address:

* City:

* Prov:

* Postal Code:

* E-mail:

Team Information: Third

* First Name:

* Last Name:

* DOB:

* Phone:

* Address:

* City:

* Prov:

* Postal Code:

* E-mail:

Team Information: Second

* First Name:

* Last Name:

* DOB:

* Phone:

* Address:

* City:

* Prov:

* Postal Code:

* E-mail:

Team Information: Lead

* First Name:

* Last Name:

* DOB:

* Phone:

* Address:

* City:

* Prov:

* Postal Code:

* E-mail:

Team Information: Contact Person / Coach

First Name:

Last Name:

Phone:

Address:

City:

Prov:

Postal Code:

E-mail:

Send Form

Printable Registration Form

Regina Curling Clubs:

Callie Curling Club
2225 Sandra Schmirler Way
Regina, SK
S4W 1B6

Manager:
Dean Moulding

Highland Curling Club
348 Broad St.
Regina, SK
S4R 1W9

Manager:
Travis Netterfield

Tartan Curling Club Co-operative
1464 Broadway Ave.
Regina, SK
S4P 1E2

Manager:
Tarina Mayer