Bantam & Little Rocks Curling Application

please note that Junior and Bantams need to be fully vaccinated
Name(Required)
Parent Name(s)(Required)
Child/Student Date of Birth(Required)
Address(Required)

All Membership Dues & Packages are payable by Cheque / Credit Card / On Members Acct. All memberships are payable on members accounts unless otherwise approved.

Please remit payment: Brockville Country Club, 1548 King St. West, PO Box 42, Brockville K6V 5T7 or Drop Off at Club.
Choose Your Desired Package(Required)
Price: $ 0.00 CAD
Payment Options

Click "Submit" below to authorize payments and agree that Brockville CC will not be responsible for lost, damaged or stolen belongings stored at the club.