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Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
How many youths are you registering?
*
Youth Name
*
First
Last
Age
As of 1/1/2024
2nd Child
Youth Name (2nd child)
First
Last
Age (2nd child)
As of 1/1/2024
3rd Child
Youth Name (3rd child)
First
Last
Age (3rd child)
As of 1/1/2024
4th Child
Youth Name (4th child)
First
Last
Age (4th child)
As of 1/1/2024
Parent/Guardian
Primary Name
*
First
Last
Layout
Primary Email
*
Primary Phone
*
2nd Parent/Guardian Name
First
Last
Layout
Email (2nd guardian)
Phone (2nd guardian)
Misc info because we're curious to know more 🙂
City
Has your child tried curling before?
*
No
Yes
How did you hear about Youth Curling?
Current/Past Curler
Email
Website
Facebook
Friend
School
Other
If "Other" please share with us!
Payment
Includes Brainerd Lakes Curling stocking hat for each child!
*
Single Youth - $25.00
Two Youth - $50.00
Family (3+ youth) - $60.00
Credit Card Payment
*
Card
Name on Card
Submit
