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