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SIGNUP: Under 18 Waiver (DO NOT DELETE!)

Waiver Form for Curlers Under the Age of 18 (Minor)

In consideration of being allowed access to the facility (as defined below) as a participant in any activity subject to the terms of 2020-2021 membership, I, the undersigned, being a parent or legal guardian of the minor curler (“Minor”) indicated in this registration, hereby make the following representations:

  • That the undersigned is legally responsible for the Minor and legally empowered to act for, on behalf of, and to execute this Participant Release and thereby bind the Minor; and
  • That the Minor will comply with the rules and regulations of the Releasees (as defined below); and
  • That the undersigned understands that the sport of curling is played on ice and requires physical fitness; and
  • That the Minor possesses such physical fitness; and
  • That the undersigned understands that the risk of the Minor participating in any curling activities at the facility could involve serious injury and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury and death does still exist; and
  • In the case that the Minor requires urgent medical attention and I cannot be reached, I hereby authorize:
    • (i) emergency personnel and medical practitioners selected by any of the Releasees or other chaperone of the Minor, in their reasonable judgment and sole discretion, to take any and all necessary measures on behalf of the Minor; and
    • (ii) the disclosure of the information set forth below to emergency personnel and medical practitioners by any of the Releasees or other chaperone of the Minor.
  • That the undersigned understands the risk of illness as a result of the Minor participating in activities at the facility, including but not limited to the novel Coronavirus (COVID-19), which may lead to serious health complications or even death, and while particular mitigation measures, equipment, and personal discipline may reduce this risk, the risk of serious illness and death does still exist; and
  • If, however, any unusual and/or significant hazard(s) are observed by the undersigned and/or the Minor during participation at the facility, then we will remove ourselves from participation and bring such to the attention of the Board of Directors for the Anchorage Curling club immediately; and
  • I, the undersigned, for Minor and the Minor’s estate, successors, heirs, beneficiaries, administrators, trustees, representatives, and attorneys do hereby remise, release, acquit, and forever discharge
    • (i) Anchorage Curling Club, an Alaska Corporation (the “Club”);
    • (ii) the United States Curling Association, Inc. (“USCA”);
    • (iii) the Alaska Curling Association (“ACA”);
    • (iv) the respective successors and assigns or each of the Club, USCA, and ACA; and
    • (v) the respective employees, officers, and directors, but only while acting in their capacity as such, of each of the Club, USCA, and ACA (collectively, the “Releasees”),

from any and all actions, causes of action, claims, demands, and liabilities, both in law and equity for damages and any court costs and legal expenses and fees associated therewith in respect of physical, mental, and bodily injury or illness occurring to the Minor while participating in any activity in the facility prior to the Expiration Date (as defined below); provided, however, that in the event such injury or illness was caused, in whole or in part, by the willful, intentional, reckless, or grossly negligent action or failure to take action of any Releasee, such Releasee shall not be so remised, released, acquitted, or discharged hereby; and

  • Nothing herein shall be deemed to limit or exclude any action, cause of action, claim, demand, liability, payment, reimbursement, other benefit, or any court costs or legal expenses and fees that the Minor or the Minor’s estate, successors, heirs, beneficiaries, administrators, trustees, representatives, or attorneys might have or seek against
    • (a) the Club’s “Participant Medical Accident” insurance coverage,
    • (b) any other participant participating in any curling activity in the facility, or
    • (c) against any other person or entity other than a Releasee.

The facility shall mean the single room containing two (2) sheets of ice in which the sport of curling is played, located at 711 East Loop Road, Anchorage, Alaska, owned and operated by Club. The Expiration Date shall mean the date which is one (1) calendar year after the date this Release is executed below.


I hereby revoke any and all releases of liability, waivers, and indemnifications previously executed by me in favor of any of the Releasees.

 

BEFORE CONTINUING BELOW, I WAS GIVEN THE OPPORTUNITY TO READ THIS PARTICIPANT RELEASE AND TO CONSULT WITH AN ATTORNEY AS TO ITS SIGNIFICANCE. BY SIGNING BELOW, I UNDERSTAND THAT I AM WAIVING SIGNIFICANT RIGHTS. I UNDERSTAND THE MEANING OF THIS PARTICIPANT RELEASE AND THE RIGHTS I AM WAIVING. NOTWITHSTANDING THE FOREGOING, I HAVE CHOSEN, OF MY OWN FREE WILL, TO EXECUTE THIS PARTICIPANT RELEASE.


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Location

711 E Loop Rd.
Anchorage, AK 
99501  USA 
(not a mailing address)

Mail

PO Box #200686
Anchorage, AK 99520

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