Event Registration

Event: Valley Regional Junior Development Camp

Event Venue: Berwick Curling Club

Event Dates: 06 October 2018 - 06 October 2018

Entry Fee: $50

Player 1:

Last Name*

First Name*

Player 1 Date Of Birth*:

Contact Info:

Last Name*

First Name*

Contact Email*:

Phone*:

Card Holder's Name*:

Last Name*

First Name*

Card Holder's Email*:

Card Number*: (Note: Only Visa and Mastercard accepted.)

Expiry Date:

Month*

Year*

Card 3 Digit Code*:

Total Fee:$50

I have read and accept the NSCA's refund and liability policies.

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