2009-2010 Season Registration
Please print this out and fill in the required information
Name: _____________________________________________________
Address: __________________________________________________
___________________________________________________________
City: ___________________ State:_______ Zip: ________________
Home Phone: ___________________Work Phone: __________________
Email: _____________________________________________________
55 YEARS OR OLDER? – YES NO
4:15 pm & 6:15 pm start times.
Teams will play some games at 4:15 pm, others at 6:15 pm.
Teams will play in a single league consisting of 12-16 teams
NOVEMBER 8, 15, 22
DECEMBER 6, 13, 20
JANUARY 10, 17, 24, 31
FEBRUARY 14, 21, 28
MARCH 7, 14
MARCH 19-21 (Irish Open Bonspiel)
CURLING MEMBERSHIP DUES
Single $250
Junior (ages 13-21) $100
Social (not curling) $60
List the names of your team members (if applicaple)
1. 2.
3. 4.
Indicate if you wish to be placed on a team: yes no
Circle desired position: Skip Vice-Skip Second Lead
MAKE YOUR CHECK PAYABLE TO:
Aksarben Curling Association
Attn: Lyle Jaixen
10418 Mary Circle
Omaha, NE 68122
QUESTIONS or INFORMATION
Gordon Gunderson 402-691-4589
Doug Jaixen 712-847-0078