DFW Curling

Individual Registration

First Name *

Last Name *

Phone *

Email *

Home Club(s), max 1 per curler

Team Name *

Skip Name *

Vice Name *

Second Name *

Lead Name *

Are all participants over 18? *

Yes

Comments

First Draw or Early Draw

First Draw Preferred

Early Draw Preferred

Amount

USD

Payment Method

Pay Online (Visa/Mastercard)

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Captcha*

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DFW Curling Club
1551 Corporate Dr
Irving, TX 75038