2024 Mixed Friday League Step 1 of 6 16% Please note the following payment details. Skip... you are in charge of collecting payment from the non-member players on your team. Upon completing and submitting this form, you will be charged for your own registration fee and Curling Alberta Fee as well as the registration fees and Curling Alberta Fees of any non-member curlers you register. Member curlers registered through this form will have their fees charged to their own accounts. Please provide the member's account number when registering.Skip's Name(Required) First Last Email(Required) Phone(Required)Are you a Golf, Social, or Athletic Member of the Derrick Club?(Required) Yes No Member Number(Required) Member Fee Price: Non-member Fee Price: Non-member Team Fee Price: Are any other curlers on this team Golf, Social, or Athletic members of The Derrick Club?(Required) Yes. No. Have you already paid your Curling Alberta Fee this year?(Required) Yes No Curling Alberta Fee Price: Please fill in the details of each member curler you're registering for your team. Registration fees will be charged to the individual member's account.Are any of the other curlers on the team Golf, Social, or Athletic members? If so, how many?(Required)Please enter a number from 0 to 6.MEMBER Curler #1Name(Required) First Last Email(Required) Phone(Required)Member Number Has curler #1 already paid their Curling Alberta Fee this year?(Required) Yes No MEMBER Curler #2Name(Required) First Last Email(Required) Phone(Required)Member Number Has curler #2 already paid their Curling Alberta Fee this year?(Required) Yes No MEMBER Curler #3Name(Required) First Last Email(Required) Phone(Required)Member Number Has curler #3 already paid their Curling Alberta Fee this year?(Required) Yes No MEMBER Curler #4Name(Required) First Last Email(Required) Phone(Required)Member Number Has curler #4 already paid their Curling Alberta Fee this year?(Required) Yes No MEMBER Curler #5Name(Required) First Last Email(Required) Phone(Required)Member Number Has curler #5 already paid their Curling Alberta Fee this year?(Required) Yes No MEMBER Curler #6Name(Required) First Last Email(Required) Phone(Required)Member Number Has curler #6 already paid their Curling Alberta Fee this year?(Required) Yes No How many NON-MEMBER curlers are on your team? (Not including yourself, if applicable)(Required)Please enter a number from 0 to 6.You will be in charge of collecting the registration fees ($415.00) and Curling Alberta fee ($17) for each non-member curler you register. These fees include tax. The total amount for yourself and all the non-member curlers you register will be charged to your member account. A total including taxes will be provided before you submit this form.You will be in charge of collecting the registration fees ($415.00) and Curling Alberta fee ($17) for each non-member curler you register. These fees include tax. The total amount for yourself and all the non-member curlers you register will be charged to your member account. A total including taxes will be provided before you submit this form.NON-MEMBER Curler #1Name(Required) First Last Email(Required) Phone(Required)Has non-member curler #1 already paid their Curling Alberta Fee this year?(Required) Yes No Non-Member Fee Price: Curling Alberta Fee Price: NON-MEMBER Curler #2Name(Required) First Last Email(Required) Phone(Required)Has non-member curler #2 already paid their Curling Alberta Fee this year?(Required) Yes No Non-Member Fee Price: Curling Alberta Fee Price: NON-MEMBER Curler #3Name(Required) First Last Email(Required) Phone(Required)Has non-member curler #3 already paid their Curling Alberta Fee this year?(Required) Yes No Non-Member Fee Price: Curling Alberta Fee Price: NON-MEMBER Curler #4Name(Required) First Last Email(Required) Phone(Required)Has non-member curler #4 already paid their Curling Alberta Fee this year?(Required) Yes No Non-Member Fee Price: Curling Alberta Fee Price: NON-MEMBER Curler #5Name(Required) First Last Email(Required) Phone(Required)Has non-member curler #5 already paid their Curling Alberta Fee this year?(Required) Yes No Non-Member Fee Price: Curling Alberta Fee Price: NON-MEMBER Curler #6Name(Required) First Last Email(Required) Phone(Required)Has non-member curler #6 already paid their Curling Alberta Fee this year?(Required) Yes No Non-Member Fee Price: Curling Alberta Fee Price: How many Rovers will your team will use? You may register up to 8.(Required)Please enter a number from 0 to 8.You will be in charge of collecting the Curling Alberta fee ($17) for each Rover you register. These fees include tax. The total amount for yourself and all the Rovers you register will be charged to your member account. A total, including taxes, will be provided before you submit this form.Rover #1Name(Required) First Last Email(Required) Phone(Required)Has Rover #1 already paid their Curling Alberta Fee this year?(Required) Yes No Rover Fee Price: Rover Fee Price: Rover #2Name(Required) First Last Email(Required) Phone(Required)Has Rover #2 already paid their Curling Alberta Fee this year?(Required) Yes No Rover Fee Price: Rover Fee Price: Rover #3Name(Required) First Last Email(Required) Phone(Required)Has Rover #3 already paid their Curling Alberta Fee this year?(Required) Yes No Rover Fee Price: Rover Fee Price: Rover #4Name(Required) First Last Email(Required) Phone(Required)Has Rover #4 already paid their Curling Alberta Fee this year?(Required) Yes No Rover Fee Price: Rover Fee Price: Rover #5Name(Required) First Last Email(Required) Phone(Required)Has Rover #5 already paid their Curling Alberta Fee this year?(Required) Yes No Rover Fee Price: Rover Fee Price: Rover #6Name(Required) First Last Email(Required) Phone(Required)Has Rover #6 already paid their Curling Alberta Fee this year?(Required) Yes No Rover Fee Price: Rover Fee Price: Rover #7Name(Required) First Last Email(Required) Phone(Required)Has Rover #7 already paid their Curling Alberta Fee this year?(Required) Yes No Rover Fee Price: Rover Fee Price: Rover #8Name(Required) First Last Email(Required) Phone(Required)Has Rover #8 already paid their Curling Alberta Fee this year?(Required) Yes No Rover Fee Price: Rover Fee Price: The total amount listed below will be charged to your member account. The total fee for this team is $1,700 including all taxes and Curling Alberta fees. It is your responsibility to collect this fee from the players on your team. A representative of the Derrick Club will contact you shortly to arrange a bank payment. It's up to you, the team Skip, to collect $432.00 ($415 registration + $17 Curling Alberta Fee) from each non-Member curler on your team and $17 from each Rover. Taxes are included in this total.Taxes are included in this total.Total PhoneThis field is for validation purposes and should be left unchanged.