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Peachtree Curling Association Adult Release Form

ADULT PARTICIPANT RELEASE

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 or  about the ice or other areas of the PCA 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 Peachtree Curling Association, Inc. (“PCA”) located at 4880 Lower Roswell Road, Suite 910, Marietta, Georgia (the “PCA Curling Facility”)

In consideration of being allowed to participate in curling or other activity or programs at the PCA 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) PCA, (ii) Grand National Curling Association (“GNCC”), (iii) the United States Curling Association (“USCA”), (iv) the respective successors and assigns of each of PCA, GNCC and USCA, (v) the respective employees, officers and directors of each of PCA, GNCC and USCA, but only while acting in their capacity as such, and (vi) individuals providing curling instruction or training at the PCA 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 PCA Curling Facility, or otherwise conducted by PCA, prior to the Expiration Date. “Expiration Date” means the date which is one (1) calendar year after the date this Release is signed.

This Release is in addition to, and not in substitution of, liability limitations under all applicable laws, including without limitation the Georgia COVID-19 Pandemic Business Safety Act.   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.

Publicity Release

 With respect to the use of my image, likeness and voice:  (1) I understand that the PCA Curling Facility contains video equipment which may be operating and broadcasting or streaming at any time, (2) I understand that PCA may photograph or capture video of participants involved with or participating in curling, related activity or other programs in the PCA Curling Facility, (3) I license and consent to PCA capturing, storing, exhibiting, publishing, broadcasting, streaming, posting and otherwise disseminating my image, likeness and/or voice and further license and consent to PCA utilizing my image, likeness and/or voice in social media and in connection with PCA marketing, advertising, promotions or publicity, and (4) I waive and relinquish any right or claim to royalties or any other payment in connection with any of the actions described items (1), (2), and (3) of this Publicity Release.

Communicable Disease Requirements

 I agree to strictly follow all rules and procedures from time to time established by PCA 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 PCA 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, AND THE PUBLICITY       RELEASE.  I UNDERSTAND THAT I GIVE UP LEGAL RIGHTS BY SIGNING THIS DOCUMENT.

Signature: __________________________________________             Date:  ________________________

Printed Name: ______________________________________

 

MINOR PARTICIPANT RELEASE

Assumption of Liability, Waiver and Release

 I am the parent or legal guardian of the minor identified below (the “Minor”) and sign this Release to bind myself and the Minor.  I understand (a) that the sport of curling is played on ice and requires physical fitness, and (b) I, the Minor, or both of us may be in close proximity to others with a risk that the Minor and/or I could be exposed to communicable disease while on or about the ice or other areas of the PCA Curling Facility, and (c) there is a risk that the Minor and/or I could suffer serious illness, injury or death as a result of participating in curling or related activity. I represent and agree that the Minor possesses the necessary physical fitness, and I understand and assume, on behalf of myself and the Minor, all risks associated with attending or participating in curling and related activity at the premises owned/leased and operated by Peachtree Curling Association, Inc. (“PCA”) located at 4880 Lower Roswell Road, Suite 910, Marietta, Georgia (the “PCA Curling Facility”)

In consideration of the Minor being allowed to participate in curling or other activity or programs at the PCA Curling Facility, I, for myself and the Minor, and for our respective estates, successors, assigns, heirs, beneficiaries, administrators, executors, trustees, and representatives do waive, and release and forever discharge (i) PCA, (ii) Grand National Curling Association (“GNCC”), (iii) the United States Curling Association (“USCA”), (iv) the respective successors and assigns of each of PCA, GNCC and USCA, (v) the respective employees, officers and directors of each of PCA, GNCC and USCA, but only while acting in their capacity as such, and (vi) individuals providing curling instruction or training at the PCA 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, in law or equity, for illness, personal injury, death or property damage arising from or related to the Minor’s participation in curling or other activity or programs in or about the PCA Curling Facility, or otherwise conducted by PCA, and/or from my presence in or about the PCA Curling Facility, prior to the Expiration Date. “Expiration Date” means the date which is one (1) calendar year after the date this Release is signed.

This Release is in addition to, and not in substitution of, liability limitations under all applicable laws, including without limitation the Georgia COVID-19 Pandemic Business Safety Act.

Publicity Release

 With respect to the use of the Minor’s image, likeness and voice:  (1) I understand that the PCA Curling Facility contains video equipment which may be operating and broadcasting or streaming at any time, (2) I understand that PCA may photograph or capture video of participants involved with or participating in curling, related activity or other programs in the PCA Curling Facility, (3) I license and consent to PCA capturing, storing, exhibiting, publishing, broadcasting, streaming, posting and otherwise disseminating the Minor’s image, likeness and/or voice and further license and consent to PCA utilizing the Minor’s image, likeness and/or voice in social media and in connection with PCA marketing, advertising, promotions or publicity, and (4) I waive and relinquish any right or claim of myself or the Minor to royalties or any other payment in connection with any of the actions described items (1), (2), and (3) of this Publicity Release.

Communicable Disease Requirements

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

I HAVE READ THIS ASSUMPTION OF LIABILITY, WAIVER AND RELEASE, AND THE PUBLICITY RELEASE.  I UNDERSTAND I GIVE UP LEGAL RIGHTS ON BEHALF OF MYSELF AND THE MINOR BY SIGNING THIS DOCUMENT.

Printed Name of Minor:  ____________________________________________   Date: _____________________

Signature of Parent/Guardian: _____________________________________

Printed Name of Parent/Guardian: _________________________________ 


Contact Us

Physical Address:
4880 Lower Roswell Road
Suite 910
Marietta, GA 30068

Mailing Address:
PO BOX 681111
Marietta, GA 30068

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About the Club ...

The Peachtree Curling Association (PCA) is dedicated to the promotion of the sport of curling and has been organized to:

  1. Educate youth, adult, corporate, senior, handicap, and other interested persons about the sport of curling
  2. Create public awareness and appreciation for the sport by hosting information sessions as well as on-ice teaching sessions, curling leagues, clinics, and competitions
  3. Develop programs that lead to local, national, and international competitions

 

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