application form

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APPLICATION FORM
2015 SCOTTISH WOMEN’S TOUR TO CANADA
November 2015 (for 3 weeks)
Please note: All female members of the RCCC are eligible to apply for a place on this tour, however present
Ladies' Branch policy indicates that members are only eligible to go on one tour.
PERSONAL INFORMATION
(Please PRINT clearly in black or blue ink)
TITLE (Dr/Mrs/Ms/Miss):
FIRSTNAME:
SURNAME:
DATE OF BIRTH:
ADDRESS:
POSTCODE:
TELEPHONE:
EMAIL:
MARITIAL STATUS:
HUSBAND’S NAME:
(If applicable)
CHILDREN’S NAMES/AGES:
(If applicable)
HEALTH:
(Please state any physical
ailments/medication required)
SMOKER/NON SMOKER:
1 | APPLICATION FORM FOR TOURS | THE ROYAL CALEDONIAN CURLING CLUB
Please attach
passport size
photograph
ANY SPECIAL DIETARY
REQUIREMENTS:
Please note: If selected for the tour you will be asked to affirm that you
are in good general health and have no medical problems.
HOBBIES/INTERESTS
ANY ADDITIONAL
INFORMATION
CURLING INFORMATION
(Please PRINT clearly in black or blue ink)
MOTHER CLUB:
MEMBERSHIP NO:
ICE RINK:
OTHER CLUBS:
YEARS CURLING:
NORMAL TEAM POSITION:
CURLING OFFICES HELD:
MAJOR CURLING
ACHIVEMENTS:
2 | APPLICATION FORM FOR TOURS | THE ROYAL CALEDONIAN CURLING CLUB
PASSPORT INFORMATION
(Please PRINT clearly in black or blue ink)
NAME IN PASSPORT:
PASSPORT NO:
PLACE OF ISSUE:
EXPIRY DATE:
Please note that your passport must be valid for a minimum of six months
from the date of departure.
Briefly tell us why you would like to be part of the curling tour:
(Additional information can be included on the last page)
DECLARATION
I confirm that this is my application to join the tour cited on the first page, and that all details recorded
herein are true and accurate and that the Royal Caledonian Curling Club cannot be held responsible for
any personal loss or damage which I may incur throughout the duration of the tour.
SIGNATURE:
DATE:
Applications must be received at the RCCC office by post or email by 1st September 2014.
Postal address
Canadian Tour Application
The Royal Caledonian Curling Club
Cairnie House, Ingliston Showground
Newbridge EH28 8NB
Email address
office@royalcaledoniancurlingclub.org
The RCCC will confirm receipt of applications by email, so please ensure you include an email address
in your application form. Should you not receive an acknowledgment within 1 week of submitting your
application, please contact the RCCC office on 0131 333 3003.
3 | APPLICATION FORM FOR TOURS | THE ROYAL CALEDONIAN CURLING CLUB
Please feel free to put any other relevant information on this page:
(Please PRINT clearly in black or blue ink)
4 | APPLICATION FORM FOR TOURS | THE ROYAL CALEDONIAN CURLING CLUB
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