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Plainfield Curling Club

Adult & Minor Participant Release

Corporate / Group Outings

 

Assumption of Liability, Waiver and Release

I understand that (a) the sport of curling is played on ice and requires physical fitness, and (b) I may be in close proximity to others with a risk that I could be exposed to communicable disease while on and about the ice or other areas of the Plainfield Curling Club Curling Facility, and (c) there is a risk that I could suffer serious illness, injury or death as a result of participating in curling or related activity. I represent and agree that I possess the necessary physical fitness, and I understand and assume all risks associated with participating in curling and related activity in or about the premises owned/leased and operated by the Plainfield Curling Club located at 133 McKinley Street / South Plainfield, NJ. 07080

In consideration of being allowed to participant in curling or other activity or programs at the Plainfield Curling Club Curling Facility, I, for myself and my estate, successors, assigns, heirs, beneficiaries, administrators, executors, trustees, and representatives do waive, and release and forever discharge (i) Plainfield Curling Club, (ii) Grand National Curling Association (“GNCC”), (iii) the United States Curling Association (“USCA”), (iv) the respective successors and assigns of each of Plainfield Curling Club, GNCC and USCA, (v) the respective employees, officers and directors of each of Plainfield Curling Club, GNCC and USCA, but only while acting in their capacity as such, and (vi) individuals providing curling instruction or training at the Plainfield Curling Club Curling Facility from any and all actions, suits, causes of action, claims, demands, damages, judgments, expenses and liabilities, including without limitation attorneys fees and expenses of litigation, for illness, personal injury, death or property damage arising from or related to my participation in curling or other activity or programs in or about the Plainfield Curling Club Curling Facility, or otherwise conducted by the Plainfield Curling Club, prior to the Expiration Date. “Expiration Date” means the date which is one (1) calendar year after the date this Release is signed.

I certify that I am at least eighteen (18) years of age and have the legal capacity to sign this Release on my own behalf.

Communicable Disease Requirements

I agree to strictly follow all rules and procedures from time to time established by the Plainfield Curling Club to reduce the risk of exposure to communicable diseases. I also understand that there is no guarantee that rules or procedures adapted and applied by the Plainfield Curling Club in an effort to reduce the risk of exposure to COVID-19 and other communicable diseases will fully protect me against the transmission of such diseases.

I HAVE READ THIS ASSUMPTION OF LIABILITY, WAIVER AND RELEASE. I UNDERSTAND THAT I GIVE UP LEGAL RIGHTS BY SIGNING THIS DOCUMENT.

Date: October 31, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Group Information

Group Name *

Event Date *


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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