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REGISTRATION FORM FOR THE 25-26 Fall SEASON


Enter registration details

Note that all required fields are marked with **


Contact Details
First Name: **
Middle Name:
Last Name: **
Gender: **
Address: **

City: **
Province/State: **
Postal/Zip Code: **
Country: **
Home Phone: **
Mobile Phone:
Work Phone:
Ext.:
Member Since: **
Years Curling Experience: **
Email:

Please enter your email address here. Email is the primary method used to communicate with our members and is only used for that purpose. If you do not have an email address please leave this field blank.

Re-enter Email:
Emergency Contact (If youth, enter parent): **
Emergency Contact Phone Number: **
Date of Birth: **
Youth members are required to enter their full date of birth including the year. If you want to take advantage of any available age discounts you must enter your full date of birth including the year.

Membership Selection Instructions

Contact Details

  • Please enter the name you would like to use in the 'First Name' field above. This name will be used on club rosters.
  • PCC name tags can be ordered with any desired text. New members get one free!

Membership Selection

  • Tick the Curling Button if you intend to Curl
  • Select Regular Membership, College, or Youth.
  • Select the League Lottery if you intend to enter it.  [Reminder: New Members are not eligible for the lottery]
  • Select Capital League if you are a member of a seeded or play in Capital League team [Not 5ths]
  • All Programs are included in your base fee. 
  • If you do not enter the league lottery you must select one program for registration purposes.
  • If you are a New Curling Member this season, please select one program for registration purposes
    Note: Charges for leagues in the lottery will be added after the lottery is conducted.

Curling Membership Categories

Membership Category Description Base Fee
Fall -or- Spring

Regular Membership

If you intend to Curl, you must purchase a Regular Membership.  You must be a Regular Curling member to have access to Programs, Leagues and In house Events
Note: Junior & college curlers approved for leagues / interested in programs should use this.

$150

College Program Membership

At least 18 on June 30. May participate in College programs & related club events only.

$50

Youth Program Membership

Under 21 on June 30. May participate in Youth programs & select club events only.

$50

 

Non-Curling Membership Categories

Membership Category Description Base Fee
Fall -or- Spring

Social Membership

Access to all off-ice club events and activities.

$30


Membership Selections (with leagues)


Membership Selections (no leagues)



Additional Options

Locker and Donation Options

Payments for Lockers are per half season (Oct-Jan | Jan-Apr) and are not discounted. Select only one option below


Discount Options

Discount Options

Discounts are only applied to the regular membership base fee and any league fees.  Discounts cannot be combined - select only one option. We're committed to building a club without barriers to curling - we don't want financial constraints to stop anyone from curling. If the cost of membership is prohibitive for any reason and you would like to apply for a need-based discount, please fill out the following form. We will contact you after your request has been processed. Please contact our Member Services team with any questions!



Other Information
Preferred Pronoun   

Did you have a Regular Curling membership from Potomac in Fall 2024 or Spring 2025? **   

League Play Experience Level **   

Willing to take SafeSport training to play on teams with Minors? (see details) **   

Opt-out of Automatic Free USAC Membership   

League Lottery - Max # of Leagues Desired   

League Lottery - 1st Choice   

League Lottery - 2nd Choice   

League Lottery - 3rd Choice   

League Lottery - 4th Choice   

League Lottery - 5th Choice   

League Lottery - 6th Choice   

League Lottery - 7th Choice   

League Lottery - Monday Men's: Notes to Coordinator (Teammates etc...)   

League Lottery - Monday Women's: Notes to Coordinator (Teammates etc...)   

League Lottery - Tuesday Doubles: Notes to Coordinator (Teammates etc...)   

League Lottery - Tuesday Social: Notes to Coordinator (Teammates etc...)   

League Lottery - Thursday Open: Notes to Coordinator (Teammates etc...)   

League Lottery - TGIF Early: Notes to Coordinator (Teammates etc...)   

League Lottery - TGIF Late: Notes to Coordinator (Teammates etc...)   

League Lottery - Sunday Pizza: Notes to Coordinator (Teammates etc...)   

League Lottery - Monday Men's: Willing to Coordinate?   

League Lottery - Monday Women's: Willing to Coordinate?   

League Lottery - Tuesday Doubles: Willing to Coordinate?   

League Lottery - Tuesday Social: Willing to Coordinate?   

League Lottery - Thursday Open: Willing to Coordinate?   

League Lottery - TGIF Early: Willing to Coordinate?   

League Lottery - TGIF Late: Willing to Coordinate?   

League Lottery - Sunday Pizza: Willing to Coordinate?   

Prince George's County Resident   

U18 Parent-Guardian Contact Email   


Consent to Release Information, Privacy Policy and Anti-Spam Policy

    I hereby consent to the use of the personal information provided above by the Potomac Curling Club administration. Only my name, phone numbers and/or email addresses may be listed in rosters, membership directories and/or member website for general member use. This information is intended for the sole use of the Potomac Curling Club and any curling organization with which the Potomac Curling Club pays a member's dues. Otherwise, this information will not be shared outside the Potomac Curling Club.



Injury Waiver

    In consideration of acceptance of this registration by Potomac Curling Club ("the club"), I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE the club and each of its members, officers and employees FROM ANY AND ALL claims, demands, damages, costs, expenses, actions and cause of action, whether in law or equity in respect of death, injury, loss or damage to myself or property, arising or to arise by reason of my participation in the Potomac Curling Club, that has not been contributed to or occasioned by any negligent act, by omission or commission, of any of the aforesaid.



Volunteer Acknowledgement

    Volunteer Expectations

    We are a volunteer run club.  In order to successfully execute all the functions of our club, we need every person to play a part.  Please Acknowledge here that you are expected to give approximately 20 hours per Curling season or 10 hours per half.  If you cannot find a way to help, please contact your board, event or league coordinators and they can help you find a way to help.  Little bits go a long way.



Registration Accuracy Confirmation

    I hereby confirm that the information I have entered on this form is correct and true.