Associate Member Application Form

ASSOCIATE MEMBER APPLICATION

Thank you for taking the time to complete the 2021-2022 Associate Member Application Form. This form is due February 1.

Affiliating the above Associate Member provides CURLSASK the ability to use and disclose information for the purpose of providing services or information, managing records, conducting research and sharing information to other curling or sports organizations at the discretion of CURLSASK.

Should you have question regarding MAP, please go to our website at: www.curlsask.ca or contact:

Darrell McKee - Membership Manager
darrell.mckee@curlsask.ca
306-780-9202 ext.02

Associate Member Name*

Mailing Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Email*

We recommend creating a club specific email (ie. clubname@user.com)

Phone Number*

Website/Twitter/Facebook Handles

Primary Contact*

First Name

Last Name

Primary Contact Email*

Primary Contact Phone*

Associate Member Fee is $300

Associate Members are considered to be a Member in Good Standing of CURLSASK/CCA upon receipt of :
(1) List of all Members. NOTE: A $15 per Player Member fee is charged to those individual members on the Associate Member Registry who are NOT currently player members of a CURLSASK Affiliated Curling Club.
(2) remittance of Fees, by February 1st. Payment can be made via a) email to curling@curlsask.ca or b) Direct mail to CURLSASK, 613 Park St. Regina, SK S4N 5N1

Please attach your logo here

No File Chosen

File uploads may not work on some mobile devices.

if applicable

Signature*

[clear]

Use your mouse or finger to draw your signature above

Date of application*