2017/18 SPARE REGISTRATION:
We curl Mondays at 7:30 PM at the Granite Curling Club (*see
2017-18 CWP schedule
If you have any questions about registration and/or the waiver, email:
Indicates required field
TEAM NAME (if applicable):
INTERMEDIATE (a few years)
EXPERIENCED (many years, competitive)
SPARE - $35
elect a simple question/answer).
Make the cheque out to: Curling with Pride League
Hand deliver the cheque to one of the Board members
prior to curling.
WE WANT TO KNOW...
NAME OF EMERGENCY CONTACT
EMERGENCY CONTACT PHONE NUMBER
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):