Registration-Nov16 - Inclusive Curling

Registers Name(Required)

First Last

Children (under 18)

How many children will be participating?

Adults

How many adults will be participating?

Please tell us more Information about the Participant(s)

Adult Name

First Last

Adult Name

First Last

Adult Name

First Last

Adult Name

First Last

Adult Name

First Last

Adult Name

First Last

Adult Name

First Last

Child Name

First Last

Child Name

First Last

Child Name

First Last

Child Name

First Last

Child Name

First Last

Child Name

First Last

Child Name

First Last

Email(Required)

Phone(Required)

How old are your children?

Have you or your children had any experience curling previously?(Required)

Please describe the participant(s) communication level(Required)

Verbal

Semi Verbal

Non Verbal

Other

Please describe the participant(s) mobility level(Required)

Zero mobility challenges

Moderate challenges (may need some accommodations)

Require wheel-chair accessibility

Other

Billing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Total

Credit Card(Required)

Cardholder Name

Card Details

Stones, Sweeps and Neurodiverse Peeps

Brought to you by Inclusive Curling

EVENT DATE

LOCATION

Registration Form - 2025.11.16

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