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PARTICIPANT RELEASE
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Special Youth Release Form
In consideration of being allowed access to the Ice House (as defined below) as a participant
in any curling activity in the Ice House, I, the undersigned, for myself and my estate, successors,
heirs, beneficiaries, administrators, trustees, representatives, and attorneys do hereby remise, release,
acquit, and forever discharge (i) The Schenectady Curling Club, a New York corporation, (the
"Club"); (ii) the United States Curling Association ("USCA"); (iii) the Grand National Curling Club
("GNCC"); (iv) the respective successors and assigns of each of the Club, USCA, and GNCC; and
(v) the respective employees, officers, and directors, but only while acting in their capacity as such,
of each of the Club, USCA, and GNCC (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 occurring to me while participating in any curling activity in the Ice House prior to the
Expiration Date (as defined below); provided, however, that in the event such injury was caused, in
whole or in part, by the wilful, intentional, reckless, or grossly negligent action or failure to take
action of any Releasee(s), such Releasee(s) shall not be so remised, released, acquitted, or discharged
hereby; and provided, further, that 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 I or my 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 (including persons referenced in clause (v)
above who are participants) participating in any curling activity in the Ice House, or (c) against any
other person or entity other than a Releasee.
The Ice House shall mean the single room containing 4 sheets of ice in which the sport of
curling is played in the building located at 1084 Balltown Road, Schenectady, NY 12309, 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 certify that I am at least eighteen (18) years of age and have the legal capacity to execute
this Participant Release on my own behalf.
I hereby revoke any and all releases of liability, waivers, and indemnifications previously
executed by me in favor of any of the Releasees.
BEFORE SIGNING 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.
| Date:_______________, 20____ |
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Name:___________________________
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