2019/20 Doubles Registration

2019 DOUBLES REGISTRATION

Doubles runs at 5:30 pm from Oct 8 – Dec 10 (10 games) $150/person at the Granite Curling Club.
Your team can be a mix of any two individuals!
Fill out the entire form (below) and sign the waiver.
Payment must be received by Aug 31, 2019. Non-payment will result in the cancellation of your registration.
No refunds after Sept 1, 2019.
Questions? Email: curlingwithpride@gmail.com.

* Indicates required field

NAME 1: *

First

Last

EMAIL 1: *

PHONE 1: *

TEAM NAME (exact name, if known): *

NAME 2: *

First

Last

EMAIL 2: *

PHONE 2: *

FEE/PAYMENT: $150 per curler *

e-TRANSFER (simple question/answer) CHEQUE

Mail cheques to: Curling With Pride
PO Box 52011
10907 Whyte Ave NW
Edmonton, AB T6G 0S7

ARE YOU...

First Aid certified and interested in being a CWP first aid contact? *

YES NO

Or someone you know, interested in donating a prize or being a league sponsor? *

YES NO

EMERGENCY CONTACT *

First

Last

EMERGENCY CONTACT PHONE *

RELEASE OF LIABILITY, WAIVER OF CLAIMS

& INDEMNITY AGREEMENT:

PLEASE NOTE: All Curling with Pride participants must complete the waiver form prior to curling. Failure to complete the waiver form will result in the cancellation of your membership.

In consideration of approval to participate in the Curling with Pride League, I hereby agree as follows:

I am aware that there is a potential risk for injury involved in the training and participation of any physical activity. I freely accept and fully assume all such risks, dangers and hazards, including but not limited to injury through physical activity and/or use of equipment and facilities, and the possibility of personal injury, death, property damages or loss, resulting from my participation in the Curling with Pride League. I am also aware that I should discuss my participation in this activity with my physician to determine the effect on my current health. I acknowledge my responsibility to ensure adequate medical personal health, dental and accident insurance coverage, as well as protection of my personal possessions.

I agree to waive any and all claims that I have or may in the future have against Curling with Pride, its directors, officers, employees and representatives, game officials, club executives, my team mates, and other players all of whom are hereinafter collectively referred to as "Releasees". I agree to release the Releasees from any and all liability for any loss, damage, injury or expense that I may suffer or that my next of kin may suffer as a result of my participation in the Curling with Pride League due to any cause whatsoever, including negligence, breach of contract or duty of care. I agree to hold harmless and indemnify the Releasees from any and all liability for any damage to property of, or personal injury to, or costs, any third party, resulting from my participation in this activity.

I agree that this agreement shall be effective and binding upon my heirs, next of kin, executors, administrators or representatives in the event of my death or incapacity.

PLEASE CHECK TO INDICATE YOUR AGREEMENT: *

I have read and understood this agreement and I am aware that by signing this agreement I am waiving certain legal rights which I or my heirs, next of kin, executors or administrators may have against the Releasees.

WAIVER SIGNED BY (type name): *

MONTH *

DAY *

YEAR *

Submit

2019 DOUBLES REGISTRATION

ARE YOU...

RELEASE OF LIABILITY, WAIVER OF CLAIMS​& INDEMNITY AGREEMENT:

RELEASE OF LIABILITY, WAIVER OF CLAIMS

& INDEMNITY AGREEMENT: